Ability Club Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABILITY CLUB CORPORATION

Practice address

11551 Pine Dr
Gulfport, MS 39503-3998

Phone

(251) 404-0016

NPI assigned

Oct 27, 2014

Last updated

Oct 27, 2014By 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. Wade Mitchell Ogletree, MS

Title

Ceo

Phone

(251) 404-0016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1275938763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 PINE DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033998",
            "telephone_number": "251-404-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 PINE DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033998",
            "telephone_number": "251-404-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY CLUB CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "OGLETREE",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-404-0016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A R Mizell LLC (Southern Family Urgent Care)
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• Delaney Jane Abella
• Abha Mishra Neurology PLLC
• Abha Mishra PLLC (Gulfport Sleep Center)
• Ophelia Abrahams, OTR/L, CHT
• Roberta Abshire, LMT
• Absolem Therapy LLC
• Abundant Home Care
• Christine R Ackerman, OT

• Community/Behavioral Health Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.