Provider Demographics
NPI:1316715683
Name:ABLISS HEALTHCARE INC
Entity type:Organization
Organization Name:ABLISS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BODIFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-297-6608
Mailing Address - Street 1:2468 VERDE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-9218
Mailing Address - Country:US
Mailing Address - Phone:407-297-6608
Mailing Address - Fax:
Practice Address - Street 1:6100 LAKE ELLENOR DR SUITE 151#1085
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809
Practice Address - Country:US
Practice Address - Phone:407-297-6608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care