Provider Demographics
NPI:1053320341
Name:ABLE HOME CARE L.L.C.
Entity type:Organization
Organization Name:ABLE HOME CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-581-1181
Mailing Address - Street 1:8 ESSEX CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2911
Mailing Address - Country:US
Mailing Address - Phone:781-581-1181
Mailing Address - Fax:
Practice Address - Street 1:8 ESSEX CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2911
Practice Address - Country:US
Practice Address - Phone:781-581-1181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0608491Medicaid
MA0608491Medicaid