Active NPI
Able Home Care, Inc.
- Child Intellectual and/or Developmental Disabilities Respite Care
- Titusville, FL
National Provider Identifier
1275285181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005532300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.