Enable, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ENABLE, INC.

Practice address

1836 Raven Dr
Bismarck, ND 58501-1223

Phone

(701) 255-2851

Fax

(701) 258-4765

NPI assigned

Mar 9, 2021

Organization subpart

Yes

Parent organization

ENABLE, INC.As reported in NPPES

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

Authorized official

Name

Jon E Larson

Title

Executive Director

Phone

(701) 255-2851

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Tax ID family

Enable Inc7 organizations share this tax ID, including this one

Part of

Enable Inc

Other organizations with this tax ID 6

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

• Enable, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Bismarck, ND
  • NPI 1184801516
  NPD tax ID
• Enable, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bismarck, ND
  • NPI 1235316670
  NPD tax ID
• Enable, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bismarck, ND
  • NPI 1598942930
  NPD tax ID
• Enable, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Bismarck, ND
  • NPI 1619013430
  NPD tax ID
• Enable, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bismarck, ND
  • NPI 1780861120
  NPD tax ID
• Enable, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bismarck, ND
  • NPI 1871770214
  NPD tax ID

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1225623440",
    "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": "YES",
        "parent_organization_legal_business_name": "ENABLE, INC.",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "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"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456404",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456405",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456398",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456401",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456381",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456393",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bismarck",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bismarck",
            "address_1": "1836 Raven Dr",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585011223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Enable, Inc.
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• Enable, Inc.

• In Home Supportive Care Agency in Bismarck, ND
• Providers in Bismarck, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.