Active NPI
Abilis Inc
- Intellectual Disabilities Intermediate Care Facility
- Stamford, CT
National Provider Identifier
1124146303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- R437
- Legal business name
- ABILIS INC
- Practice address
- 38 Little Hill Drive
Garc
Stamford, CT 06905 - Phone
- (203) 329-9084
- Fax
- (203) 322-4531
- NPI assigned
- Mar 27, 2007
- Last updated
- Jan 13, 2014
- 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
- Ms. Laurel P Ross
- Title
- Executive Director
- Phone
- (203) 531-1880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | R437 | CT | Primary |
Addresses
Primary practice location
38 Little Hill Drive
Garc
Stamford, CT 06905
Mailing address
50 Glenville Street
Greenwich, CT 06831
Phone (203) 531-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000064379 | Medicaid | CT |
Other names 1
- Abilis
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 1124146303. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 07G108
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
- ABILIS - LITTLE HILL
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Feb 28, 1986
- Last certification
- Mar 4, 2025
- Beds
- 6
- Ownership / control type
- Private (non-profit)
- Facility address
- 38 Little Hill Drive
Stamford, CT 06905
National Provider Directory
National Provider Directory- Tax ID family
- Abilis
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Stamford, CT
- NPI 1063626547
-
- Intellectual Disabilities Intermediate Care Facility
- Old Greenwich, CT
- NPI 1568580645
-
- Developmentally Disabled Services Day Training Agency
- Stamford, CT
- NPI 1801270830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389571200000",
"number": "1124146303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 GLENVILLE STREET",
"city": "GREENWICH",
"state": "CT",
"postal_code": "06831",
"telephone_number": "203-531-1880",
"fax_number": "203-531-9367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 LITTLE HILL DRIVE",
"address_2": "GARC",
"city": "STAMFORD",
"state": "CT",
"postal_code": "06905",
"telephone_number": "203-329-9084",
"fax_number": "203-322-4531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABILIS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2014-01-13",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "LAUREL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "203-531-1880",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CT",
"license": "R437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000064379",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Abilis",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.