Active NPI
Dynamic Abilities LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Council Bluffs, IA
National Provider Identifier
1023924388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- DYNAMIC ABILITIES LLC
- Practice address
- 3105 11TH Ave
Council Bluffs, IA 51501-5777 - Phone
- (402) 813-3551
- NPI assigned
- Aug 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasmine Maxwell, CNA
- Title
- Owner
- Phone
- (402) 813-3551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
3105 11TH Ave
Council Bluffs, IA 51501-5777
Mailing address
8936 N 78TH Avenue Cir
Omaha, NE 68122-4109
Phone (402) 813-3551
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Omaha, NE
- NPI 1861352197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1023924388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8936 N 78TH AVENUE CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681224109",
"telephone_number": "402-813-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 11TH AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515015777",
"telephone_number": "402-813-3551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC ABILITIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "MAXWELL",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-813-3551",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.