Provider Demographics
NPI:1528584406
Name:ENABLE, INC.
Entity Type:Organization
Organization Name:ENABLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAILIFF
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:609-987-5003
Mailing Address - Street 1:13 ROSZEL RD STE B110
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6211
Mailing Address - Country:US
Mailing Address - Phone:609-987-5003
Mailing Address - Fax:609-987-2790
Practice Address - Street 1:1015 WHITEHEAD ROAD EXT APT 124
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-2433
Practice Address - Country:US
Practice Address - Phone:609-987-5003
Practice Address - Fax:609-987-2790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========Medicaid