Provider Demographics
NPI:1306902556
Name:ABLE CARE LLC
Entity type:Organization
Organization Name:ABLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:AGOMUOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-212-6779
Mailing Address - Street 1:17600 NORTHLAND PARK CT
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4322
Mailing Address - Country:US
Mailing Address - Phone:248-212-6779
Mailing Address - Fax:248-352-0293
Practice Address - Street 1:17600 NORTHLAND PARK CT
Practice Address - Street 2:SUITE 205
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4322
Practice Address - Country:US
Practice Address - Phone:248-212-6779
Practice Address - Fax:248-352-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health