Active NPI
Able, Incorporated
- Intellectual Disabilities Intermediate Care Facility
- Dickinson, ND
National Provider Identifier
1164600565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- ABLE, INCORPORATED
- Practice address
- 653 19TH St W
Dickinson, ND 58601-2973 - Phone
- (701) 456-3000
- Fax
- (701) 456-3004
- NPI assigned
- Feb 7, 2008
- 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
- Michael John Klein
- Title
- Business Manager
- Phone
- (701) 456-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
653 19TH St W
Dickinson, ND 58601-2973
Mailing address
653 19TH St W
Dickinson, ND 58601-2973
Phone (701) 456-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30856 | Medicaid | ND |
National Provider Directory
National Provider Directory- Tax ID family
- Able Incorporated
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Bowman, ND
- NPI 1184226367
-
- Community/Behavioral Health Agency
- Dickinson, ND
- NPI 1679171235
-
- Intellectual Disabilities Intermediate Care Facility
- Dickinson, ND
- NPI 1184782781
-
- Intellectual Disabilities Intermediate Care Facility
- Dickinson, ND
- NPI 1255519658
-
- Intellectual Disabilities Intermediate Care Facility
- Dickinson, ND
- NPI 1538347935
-
- Intellectual Disabilities Intermediate Care Facility
- Dickinson, ND
- NPI 1891973293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1164600565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 19TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586012973",
"telephone_number": "701-456-3000",
"fax_number": "701-456-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 19TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586012973",
"telephone_number": "701-456-3000",
"fax_number": "701-456-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABLE, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "701-456-3000"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30856",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.