Provider Demographics
NPI:1437223567
Name:ABILITY BEYOND DISABILITY
Entity Type:Organization
Organization Name:ABILITY BEYOND DISABILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND C.A.F.O.
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:I
Authorized Official - Last Name:PASQUALINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-826-3017
Mailing Address - Street 1:4 BERKSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-1001
Mailing Address - Country:US
Mailing Address - Phone:203-775-4700
Mailing Address - Fax:203-775-5734
Practice Address - Street 1:135 OLD STATE RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2535
Practice Address - Country:US
Practice Address - Phone:203-775-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT326155-21374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing PersonnelGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT500000455Medicare ID - Type UnspecifiedPRN - NURSE PRACTITIONER