Organization Active NPI

Able Home Care, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Titusville, FL
National Provider Identifier
1275285181
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
ABLE HOME CARE, INC.
Practice address
751 S Washington Ave
Titusville, FL 32780-4231
Phone
(407) 463-4699
Fax
(321) 607-6723
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Mrs. Jessica Ilene O'Flaherty
Title
President/Owner
Phone
(407) 463-4699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

751 S Washington Ave
Titusville, FL 32780-4231

Mailing address

751 S Washington Ave
Titusville, FL 32780-4231
Phone (407) 463-4699

Other identifiers 1

IdentifierTypeStateIssuer
005532300MedicaidFL

National Provider Directory

National Provider Directory

Locations

751 S Washington Ave
Titusville, FL 32780
Phone (407) 463-4699

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1275285181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804231",
            "telephone_number": "407-463-4699",
            "fax_number": "321-607-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804231",
            "telephone_number": "407-463-4699",
            "fax_number": "321-607-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "O'FLAHERTY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ILENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-463-4699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005532300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.