Provider Demographics
NPI:1982034914
Name:ABILITY SYSTEMS, INC
Entity Type:Organization
Organization Name:ABILITY SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-205-9988
Mailing Address - Street 1:PO BOX 492
Mailing Address - Street 2:509 CEDAR
Mailing Address - City:CEDAR VALE
Mailing Address - State:KS
Mailing Address - Zip Code:67024
Mailing Address - Country:US
Mailing Address - Phone:620-758-5100
Mailing Address - Fax:620-758-5101
Practice Address - Street 1:509 CEDAR
Practice Address - Street 2:
Practice Address - City:CEDAR VALE
Practice Address - State:KS
Practice Address - Zip Code:67024
Practice Address - Country:US
Practice Address - Phone:620-758-5100
Practice Address - Fax:620-758-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200628260AMedicaid