1659575660 NPI number — ABILITY BEYOND DISABILITY

Table of content: (NPI 1659575660)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659575660 NPI number — ABILITY BEYOND DISABILITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABILITY BEYOND DISABILITY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659575660
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 BERKSHIRE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHEL
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06801-1001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-775-4700
Provider Business Mailing Address Fax Number:
203-775-5734

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 DEER HILL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06810-7905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-731-3039
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PASQUALINI
Authorized Official First Name:
LORI
Authorized Official Middle Name:
I
Authorized Official Title or Position:
VICE PRESIDENT AND C.A.F.O.
Authorized Official Telephone Number:
203-826-3017

Provider Taxonomy Codes

  • Taxonomy code: 315P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)