Provider Demographics
NPI:1225523483
Name:ABLE KIDS CO
Entity Type:Organization
Organization Name:ABLE KIDS CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BINGAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-693-6469
Mailing Address - Street 1:1233 HEATHCOT PL
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-5928
Mailing Address - Country:US
Mailing Address - Phone:408-623-7713
Mailing Address - Fax:
Practice Address - Street 1:5170 GOLDEN FOOTHILL PKWY
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9608
Practice Address - Country:US
Practice Address - Phone:916-693-6469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1285018002OtherASHLEIGH GUICH
1568715704OtherCHERYL TURBOO
CA1710337258OtherJUST FOR J