Provider Demographics
NPI:1053012567
Name:ABLE CARE HOME HEALTH, INC
Entity type:Organization
Organization Name:ABLE CARE HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-339-7722
Mailing Address - Street 1:2606 RAEFORD RD STE 7
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5476
Mailing Address - Country:US
Mailing Address - Phone:910-339-7722
Mailing Address - Fax:910-339-7723
Practice Address - Street 1:2606 RAEFORD RD STE 7
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5476
Practice Address - Country:US
Practice Address - Phone:910-339-7722
Practice Address - Fax:910-339-7723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health