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ABLE
NPI 1528278371
Intermediate Care Facility, Intellectual Disabilities in San Rafael, CA

Active since May 23, 2007
25 DE ANZA WAY, SAN RAFAEL, CA 94903(415) 492-8087(415) 492-0347 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Able NPPES

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

ABLE (NPI 1528278371) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Rafael, California and active in the NPI registry since May 2007. The organization lists Terry Jones, Board Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1528278371
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameA BROADER LIVING EXPERIENCE
Location Address25 DE ANZA WAYSan Rafael, CA 94903-3868
Mailing Address25 De Anza WaySan Rafael, CA 94903-3868 · (415) 492-8087 · Fax (415) 492-0347
Phone(415) 492-8087
Fax(415) 492-0347
Organization SubpartNo
Authorized OfficialTerry JonesBoard Secretary Treasurer · (415) 492-8087
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 13, 2008
✔ NPI 1528278371 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
License✔ Licensed in CA · LTC60124G
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
25 DE ANZA WAY, San Rafael, CA 94903
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Other Names 1

Other NameAble

Other Identifiers 1

OtherLTC60124GCA · Long Term Care Id

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Broader Living Experience's NPI number?

The NPI number for A Broader Living Experience is 1528278371. It was assigned to this organization in the NPPES registry on May 23, 2007. The provider is also known as Able.

Where is A Broader Living Experience located?

A Broader Living Experience is located at 25 De Anza Way, San Rafael, CA 94903. The listed phone number is (415) 492-8087.

What is A Broader Living Experience's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for A Broader Living Experience was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.