Able Residential & Community Options, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABLE RESIDENTIAL & COMMUNITY OPTIONS, LLC

Practice address

909 S 29TH St
Manitowoc, WI 54220-4461

Phone

(920) 645-6202

Fax

(920) 645-6203

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Will Schneider

Title

Owner/Ceo

Phone

(920) 645-6202

Specialties & licenses 2

Addresses

Other names 1

• ABLE RCO, LLC Other name

Locations

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1144797739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S 29TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204461",
            "telephone_number": "920-645-6202",
            "fax_number": "920-645-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S 29TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204461",
            "telephone_number": "920-645-6202",
            "fax_number": "920-645-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 S Washburn St",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549048953",
            "country_code": "US",
            "telephone_number": "920-230-6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABLE RESIDENTIAL & COMMUNITY OPTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "920-645-6202"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABLE RCO, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.