Able Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABLE CARE LLC

Practice address

17600 Northland Park CT
Suite 205
Southfield, MI 48075-4322

Phone

(248) 212-6779

Fax

(248) 352-0293

NPI assigned

Dec 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Innocent Agomuoh

Title

President

Phone

(248) 212-6779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306902556. Details of each certification follow.

• CCN 239172 Home health agency · Active · Details

Home health agency certification: CCN 239172

Legal name

ABLE CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 28, 2011

Last certification

Feb 11, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 28, 2011 in MI

Enrollment address

21790 Coolidge Hwy
Ste B-107
Oak Park, MI 48237-3156

Listed as

Able CareCCN 239172 · All quality measures

Ownership

Proprietary

Certified

Apr 28, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306902556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 NORTHLAND PARK CT",
            "address_2": "SUITE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754322",
            "telephone_number": "248-212-6779",
            "fax_number": "248-352-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 NORTHLAND PARK CT",
            "address_2": "SUITE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754322",
            "telephone_number": "248-212-6779",
            "fax_number": "248-352-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGOMUOH",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-212-6779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonne Abdur-Rahman
• Edward Paul Abegg, D.P.M.
• Destiny Abernathy
• Abi's in Home Senior Care, LLC (Abi's In Home Care, LLC)
• Abi's in-Home Senior Care,LLC
• Able Health Care Services LLC
• Alaa Abouhashim
• Olivia Abouna
• Boby Abraham
• Patrick Abrahamson

• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.