Provider Demographics
NPI:1386498632
Name:ABLE IN HOME CARE LLC
Entity type:Organization
Organization Name:ABLE IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANCU
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:971-570-4123
Mailing Address - Street 1:7890 SW HUNZIKER RD APT 107
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-7722
Mailing Address - Country:US
Mailing Address - Phone:971-570-4123
Mailing Address - Fax:
Practice Address - Street 1:7890 SW HUNZIKER RD APT 107
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-7722
Practice Address - Country:US
Practice Address - Phone:971-570-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care