Able

LBN: A Broader Living Experience
Able is an health care organization with primary practice located at 25 De Anza Way , San Rafael CA 94903-3868. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. A Broader Living Experience can be contacted via phone (415) 492-8087, or through Jones, Terry via phone (415) 492-8087.

Contact Information

Primary practice address
25 De Anza Way San Rafael CA 94903-3868
Phone: (415) 492-8087
Fax: (415) 492-0347
Website:
Map and Directions
Authorized official contact:
Name: Jones, Terry
Phone: (415) 492-8087

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X LTC60124G California

Profile Details

NPI number 1528278371
LBN Legal business name A Broader Living Experience
DBA Doing business as Able
Authorized official Jones, Terry
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Jun 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528278371 NPPES
California Other LTC60124G LONG TERM CARE ID

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