Provider Demographics
NPI:1447610183
Name:ABLE ABILITIES GROUP
Entity Type:Organization
Organization Name:ABLE ABILITIES GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:ADENIKE
Authorized Official - Last Name:OGUNDIMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-972-9191
Mailing Address - Street 1:811 RYLAND ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1602
Mailing Address - Country:US
Mailing Address - Phone:775-972-9191
Mailing Address - Fax:775-972-9191
Practice Address - Street 1:811 RYLAND ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1602
Practice Address - Country:US
Practice Address - Phone:775-972-9191
Practice Address - Fax:775-972-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005040801Medicare NSC