Organization Active NPI

Enable, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Bismarck, ND
National Provider Identifier
1184801516
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ENABLE, INC.
Practice address
1836 Raven Dr
Bismarck, ND 58501-1223
Phone
(701) 255-2851
Fax
(701) 258-4765
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Mr. Jon E Larson
Title
Executive Director
Phone
(701) 255-2851

Specialties & licenses 1

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

Addresses

Primary practice location

1836 Raven Dr
Bismarck, ND 58501-1223

Mailing address

1836 Raven Dr
Bismarck, ND 58501-1223
Phone (701) 255-2851

Other names 1

  • East Plainview Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Enable Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1836 Raven Dr
Bismarck, ND 58501
Phone (701) 255-2851

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1184801516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 RAVEN DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011223",
            "telephone_number": "701-255-2851",
            "fax_number": "701-258-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 RAVEN DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011223",
            "telephone_number": "701-255-2851",
            "fax_number": "701-258-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-255-2851",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Plainview",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Plainview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.