Provider Demographics
NPI:1962839977
Name:ADVANCING ABILITIES, INC.
Entity Type:Organization
Organization Name:ADVANCING ABILITIES, INC.
Other - Org Name:SCIOTO TRAILS GROUP HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-425-6058
Mailing Address - Street 1:374 GOOD MANOR RD
Mailing Address - Street 2:
Mailing Address - City:LUCASVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45648-9606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:374 GOOD MANOR RD
Practice Address - Street 2:
Practice Address - City:LUCASVILLE
Practice Address - State:OH
Practice Address - Zip Code:45648-9606
Practice Address - Country:US
Practice Address - Phone:740-289-2861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities