Ability Care Services, Inc.
Organization Active NPI Home Health Agency · Clermont, FL
NPI 1144768540 · NPPES record last updated Nov 4, 2020
Key facts
- NPI
- 1144768540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ABILITY CARE SERVICES, INC.
- Practice address
- 635 W Highway 50 Ste E
Clermont, FL 34711 - Phone
- (352) 227-1411
- NPI assigned
- Feb 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Taisha Trotman
- Title
- Administrator
- Phone
- (352) 227-1411
Practitioners 1
Medicare Care Compare: Home health agency
- Listed as
- Ability Care Services, Inc.
- Ownership
- -
- Certified
- Jan 10, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2210295 | Ability Care Services Inc | Certificate of waiver | Jan 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 687226
- Legal name
- ABILITY CARE SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 10, 2023
- Last certification
- Dec 28, 2022
- Organization structure
- Corporation · Proprietary
- Incorporated
- Oct 4, 2016 in FL
- Enrollment address
- 635 W Highway 50
Ste E
Clermont, FL 34711-2979
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Taisha Trotman |
5% Or Greater Direct Ownership Interest |
Oct 4, 2016 | 100% |
| 5% Or Greater Security Interest |
Oct 4, 2016 | 100% | |
| Operational/Managerial Control |
Oct 4, 2016 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210325002823 | FL | Part a Provider - Home Health Agency | 9931516598 | Practice locations: Clermont, FL |
National Provider Directory
Locations
635 W Highway 50
Ste E
Clermont, FL 34711
Phone (352) 227-1411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Home Health Aide |
374U00000X |
Addresses
Primary practice location
635 W Highway 50 Ste E
Clermont, FL 34711
Mailing address
635 W Highway 50 Ste E
Clermont, FL 34711-2979
Phone (352) 227-1411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299994760 | Other | FL | HOME HEALTH AGENCY LICENSE |
Other providers in Clermont, FL
- A1 Plus Medical Transportation
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- Abc Prosthetics and Orthotics of Clermont Inc
- Emad M Abdelsatar
- Ability Health Services
- Ability Health Services and Rehabilitation LP
- Patrick Abou Jaoude
- Leland Mathew Abrams
- Rajab K Abukhadrah
All providers in Clermont, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.