ABLELIGHT INC. – NPI #1417010604
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

ABLELIGHT INC. is a community based residential treatment facility located in WATERTOWN, WI. NPPES has assigned the NPI number 1417010604 to ABLELIGHT INC. on December 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 4 years ago on Jun 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABLELIGHT INC. below.

NPI Profile for
ABLELIGHT INC.

NPI Number
1417010604
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ABLELIGHT INC.
Primary location
600 HOFFMANN DR
WATERTOWN, WI 53094-6223
Phone: (920) 261-3050 Fax: (920) 261-8441
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL MINNING
DIRECTOR OF TREASURY
Phone: (920) 206-4459
Updated
Certification Date
Jun 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 IN
315P00000X
- Intermediate Care Facility, Intellectual Disabilities		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.