Organization Active NPI

Floxy Abilitynest LLC

  • Assisted Living Facility
  • Waterloo, WI
National Provider Identifier
1609718352
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FLOXY ABILITYNEST LLC
Practice address
W12115 Longview Cir
Waterloo, WI 53594-9606
Phone
(414) 553-8503
NPI assigned
Apr 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Obiaku Anyasor
Title
Owner/ Administrator
Phone
(414) 553-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

W12115 Longview Cir
Waterloo, WI 53594-9606

Mailing address

W12115 Longview Cir
Waterloo, WI 53594-9606
Phone (414) 553-8503

Other identifiers 1

IdentifierTypeStateIssuer
100406250MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1609718352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W12115 LONGVIEW CIR",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535949606",
            "telephone_number": "414-553-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W12115 LONGVIEW CIR",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535949606",
            "telephone_number": "414-553-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOXY ABILITYNEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "ANYASOR",
        "authorized_official_first_name": "OBIAKU",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "414-553-8503"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100406250",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.