Provider Demographics
NPI:1063920692
Name:ABLECARE, INC
Entity type:Organization
Organization Name:ABLECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL AUTHORIZATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-635-2003
Mailing Address - Street 1:8973 E KENYON AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1836
Mailing Address - Country:US
Mailing Address - Phone:303-296-1095
Mailing Address - Fax:303-296-3936
Practice Address - Street 1:8973 E KENYON AVE STE 250
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1836
Practice Address - Country:US
Practice Address - Phone:303-296-1095
Practice Address - Fax:303-296-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
CO04C969251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO63628261Medicaid