NPIMap

Organization Active NPI

Ability Beyond Disability

  • Intellectual Disabilities Intermediate Care Facility
  • Brookfield, CT
National Provider Identifier
1093366494
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ABILITY BEYOND DISABILITY
Practice address
19 Pleasant Rise Cir
Brookfield, CT 06804-2126
Phone
(203) 775-4700
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Brown
Title
Controller
Phone
(203) 826-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

19 Pleasant Rise Cir
Brookfield, CT 06804-2126

Mailing address

4 Berkshire Blvd
Bethel, CT 06801-1001
Phone (203) 826-3034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093366494. Details of each certification follow.

  • CCN 07G255 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 07G255

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ABILITY BEYOND DISABILITY PLEASANT RISE CIRCLE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 10, 2019
Last certification
Aug 14, 2024
Beds
6
Ownership / control type
Private (non-profit)
Facility address
19 Pleasant Rise Circle
Brookfield, CT 06804

National Provider Directory

National Provider Directory
Tax ID family
Patricia Mitchell26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1093366494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BERKSHIRE BLVD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011001",
            "telephone_number": "203-826-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PLEASANT RISE CIR",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042126",
            "telephone_number": "203-775-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY BEYOND DISABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "203-826-3021"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.