1821619453 NPI number — ABILITIES UNLIMITED LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821619453 NPI number — ABILITIES UNLIMITED LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABILITIES UNLIMITED LLC
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:
1821619453
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1919 OXMOOR RD # 272
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35209-3502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-678-2767
Provider Business Mailing Address Fax Number:
888-678-2767

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1761 WIRE RD APT 4-7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36832-6645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-678-2767
Provider Business Practice Location Address Fax Number:
888-678-2767
Provider Enumeration Date:
05/05/2020

Additional Information

Authorized Official

Authorized Official Last Name:
PEEBLES
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
MINTON
Authorized Official Title or Position:
PRESIDENT AND CEO
Authorized Official Telephone Number:
888-678-2767

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 14660722 . This is a "NCQH" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com