NPIMap

Organization Active NPI

Ability Beyond Disability

  • Intellectual Disabilities Intermediate Care Facility
  • New Milford, CT
National Provider Identifier
1134323173
Registry record updated Aug 22, 2020
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
54 Lanesville Rd
New Milford, CT 06776-4400
Phone
(860) 210-2107
NPI assigned
Jun 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lori I Pasqualini
Title
Vice President and C.a.F.O.
Phone
(203) 826-3017

Specialties & licenses 1

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

Addresses

Primary practice location

54 Lanesville Rd
New Milford, CT 06776-4400

Mailing address

4 Berkshire Blvd
Bethel, CT 06801-1001
Phone (203) 775-4700

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 1134323173. Details of each certification follow.

  • CCN 07G165 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 07G165

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 - Lanesville
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 9, 1989
Last certification
May 6, 2025
Beds
5
Ownership / control type
Private (non-profit)
Most recent change of ownership
Apr 28, 2004
Facility address
54 Lanesville Road
New Milford, CT 06776

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134323173",
    "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": "203-775-4700",
            "fax_number": "203-775-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LANESVILLE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067764400",
            "telephone_number": "860-210-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY BEYOND DISABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASQUALINI",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VICE PRESIDENT AND C.A.F.O.",
        "authorized_official_telephone_number": "203-826-3017"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.