EAST PLAINVIEW - NPI 1184801516 - Intermediate Care Facility, Intellectual Disabilities in Bismarck, ND

Q: What is the provider's specialty?

The provider's specialty is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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About East Plainview NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST PLAINVIEW (NPI 1184801516) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Bismarck, North Dakota and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Jon E Larson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184801516

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameENABLE, INC.

Location Address1836 RAVEN DRBismarck, ND 58501-1223

Mailing Address1836 Raven DrBismarck, ND 58501-1223 · (701) 255-2851 · Fax (701) 258-4765

Phone(701) 255-2851

Fax(701) 258-4765

Organization SubpartNo

Authorized OfficialJon E LarsonExecutive Director · (701) 255-2851

Enumeration DateJanuary 29, 2008

Last NPPES UpdateNovember 3, 2020

NPPES CertifiedNovember 3, 2020

✔ NPI 1184801516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1836 RAVEN DR, Bismarck, ND 58501

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Other Names 1

Doing Business AsEast Plainview

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2085352

Enable, Inc · Bismarck, ND

Active · expires Sep 24, 2027

CLIA Number35D2085352

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateSeptember 25, 2025

Certificate Expiration DateSeptember 24, 2027

Laboratory DirectorKristal M. Dockter

Laboratory Phone(701) 712-8779

Laboratory LocationEnable, Inc1836 Raven Drive, Bismarck, ND 58501

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENABLE, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities