Provider Demographics
NPI:1902371941
Name:ENABLE, INC.
Entity Type:Organization
Organization Name:ENABLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAILIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
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:609-520-7979
Practice Address - Street 1:425 DRUM POINT RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6833
Practice Address - Country:US
Practice Address - Phone:609-987-5003
Practice Address - Fax:609-520-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-05
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0475629Medicaid