ABLELIGHT INC. NPI 1417010604

NPI Information

NPI: 1417010604
Provider Name: ABLELIGHT INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address: 600 HOFFMANN DR
WATERTOWN, WI
ZIP 53094
Phone: (920) 261-3050

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NPI Details

ABLELIGHT INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Watertown, WI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ABLELIGHT INC. NPI is 1417010604. The provider is registered as an organization entity type.

The provider's business location address is:

600 HOFFMANN DR
WATERTOWN, WI
ZIP 53094-223
Phone: (920) 261-3050
Fax: (920) 261-8441

The provider's authorized official is Michael Minning .
The authorized official title is Director Of Treasury and has the following contact phone number (920) 206-4459.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 6/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities	ILLINOIS	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities	TEXAS	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	OHIO	No
5	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	INDIANA	No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	NEW JERSEY	No
7	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ILLINOIS	No
8	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MISSOURI	No
9	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	TEXAS	No
10	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	FLORIDA	No
11	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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