Provider Demographics
NPI:1760591804
Name:ENABLE, INC.
Entity Type:Organization
Organization Name:ENABLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-828-4770
Mailing Address - Street 1:605 NEPONSET ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1981
Mailing Address - Country:US
Mailing Address - Phone:781-828-4770
Mailing Address - Fax:781-575-0078
Practice Address - Street 1:275 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-1467
Practice Address - Country:US
Practice Address - Phone:781-255-1817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251G00000X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAN04153460001OtherCIGNA HEALTHCARE
MA1802526Medicaid
MA716925OtherTUFTS HEALTH PLAN
MA0009925OtherNEIGHBORHOOD HEALTH
MA0000EI0026OtherBLUE CROSS/BLUE SHIELD
TX0004584014OtherAETNA
MA00000002143OtherBMC HEALTH NET PLAN
MAI 122OtherHARVARD PILGRIM HEALTHCAR
MA1802526Medicaid
PAAN04153460001OtherCIGNA HEALTHCARE