Provider Demographics
NPI:1871953281
Name:ABES CARE HOME FOR DISABILITY
Entity type:Organization
Organization Name:ABES CARE HOME FOR DISABILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:NOCELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-356-8114
Mailing Address - Street 1:1266 SKYLARK ST
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-0767
Mailing Address - Country:US
Mailing Address - Phone:775-356-8114
Mailing Address - Fax:
Practice Address - Street 1:1266 SKYLARK ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-0767
Practice Address - Country:US
Practice Address - Phone:775-356-8114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005048416Medicaid