1245272038 NPI number — ABLE PALMS HOME & HEALTH CARE SERVICES, INC.

Table of content: LAUREN MARIE BALAS BA (NPI 1972735306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245272038 NPI number — ABLE PALMS HOME & HEALTH CARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABLE PALMS HOME & HEALTH CARE SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245272038
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3313 W COMMERCIAL BLVD STE 130
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33309-3413
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-586-2711
Provider Business Mailing Address Fax Number:
727-674-1192

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 LAKE AVE NE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33771-6605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-586-2711
Provider Business Practice Location Address Fax Number:
727-586-2565
Provider Enumeration Date:
06/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MARTINOLICH
Authorized Official First Name:
LISA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
MGR
Authorized Official Telephone Number:
561-252-2470

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HHA20073096 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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