Organization Active NPI

Achievable Abilities Support Services

  • Developmentally Disabled Services Day Training Agency
  • St Petersburg, FL
National Provider Identifier
1093469736
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ACHIEVABLE ABILITIES SUPPORT SERVICES
Practice address
6727 1St Ave S Ste 209
Saint Petersburg, FL 33707-1341
Phone
(727) 204-7911
NPI assigned
Feb 11, 2022
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Mr. Nicholas EllisNPI 1689387375
Title
Owner
Phone
(727) 204-7911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

6727 1St Ave S Ste 209
Saint Petersburg, FL 33707-1341

Mailing address

6727 1St Ave S Ste 209
Saint Petersburg, FL 33707-1341
Phone (727) 204-7911

National Provider Directory

National Provider Directory

Locations

6727 1st Ave S
Ste 209
Saint Petersburg, FL 33707
Phone (727) 204-7911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1093469736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 1ST AVE S STE 209",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071341",
            "telephone_number": "727-204-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 1ST AVE S STE 209",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071341",
            "telephone_number": "727-204-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVABLE ABILITIES SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-204-7911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.