Ability360, Inc,

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

131516 Issued in AZ

Legal business name

ABILITY360, INC,

Practice address

5025 E Washington St Ste 200
Phoenix, AZ 85034-7439

Phone

(602) 256-2245

Fax

(602) 528-3422

NPI assigned

Feb 2, 2007

Last updated

Oct 21, 2016By 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

Mr. Phil L Pangrazio

Title

President and Ceo

Phone

(602) 256-2245

Specialties & licenses 1

Addresses

Other names 1

• Arizona Bridge to Independent Living Former legal business name

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1174661078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347439",
            "telephone_number": "602-256-2245",
            "fax_number": "602-528-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347439",
            "telephone_number": "602-256-2245",
            "fax_number": "602-528-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY360, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "PANGRAZIO",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "602-256-2245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "131516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Bridge to Independent Living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.