Provider Demographics
NPI:1174711683
Name:ABILITY AND PERFORMANCE HOME CARE,LLC
Entity type:Organization
Organization Name:ABILITY AND PERFORMANCE HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAPELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-283-9070
Mailing Address - Street 1:PO BOX 3185
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-3185
Mailing Address - Country:US
Mailing Address - Phone:956-283-9070
Mailing Address - Fax:956-283-9071
Practice Address - Street 1:200 W EXPRESSWAY 83
Practice Address - Street 2:SUITE C
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3641
Practice Address - Country:US
Practice Address - Phone:956-283-9070
Practice Address - Fax:956-283-9071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011205251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747007Medicare Oscar/Certification