1326374539 NPI number — ABILITY HOME HEALTH CARE

Table of content: SARA MARIE MCKENICA RN FNP (NPI 1578857132)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326374539 NPI number — ABILITY HOME HEALTH CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABILITY HOME HEALTH CARE
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:
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:
1326374539
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 N CONGRESS AVE
Provider Second Line Business Mailing Address:
SUITE 606B
Provider Business Mailing Address City Name:
DELRAY BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33445-4703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-715-3741
Provider Business Mailing Address Fax Number:
561-272-2471

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 N CONGRESS AVE
Provider Second Line Business Practice Location Address:
SUITE 606B
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33445-4703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-715-3741
Provider Business Practice Location Address Fax Number:
561-272-2471
Provider Enumeration Date:
10/22/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MARTINI
Authorized Official First Name:
LEIGH
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
561-715-3741

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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