Organization Active NPI

Able Health Group, LLC

  • Community Based Hospice Care Agency
  • Palm Desert, CA
National Provider Identifier
1255832333
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ABLE HEALTH GROUP, LLC
Doing business as
Able Hospice, Inc
Practice address
41990 Cook St, BLD F, Ste 2004
Palm Desert, CA 92211-6105
Phone
(760) 610-2093
Fax
(760) 610-2115
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gilbert C Mwansa, RN
Title
Administrator
Phone
(714) 943-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

41990 Cook St, BLD F, Ste 2004
Palm Desert, CA 92211-6105

Mailing address

41990 Cook St, BLD F, Ste 2004
Palm Desert, CA 92211-6105
Phone (760) 610-2093

Other names 1

  • Able Hospice, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1007 E Cooley Dr
#118
Colton, CA 92324
Phone (909) 505-2252

41990 Cook St
Ste 2004
Palm Desert, CA 92211
Phone (760) 610-2093

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1255832333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST, BLD F, STE 2004",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116105",
            "telephone_number": "760-610-2093",
            "fax_number": "760-610-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST, BLD F, STE 2004",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116105",
            "telephone_number": "760-610-2093",
            "fax_number": "760-610-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "MWANSA",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-943-6454",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Able Hospice, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.