Provider Demographics
NPI:1053006064
Name:POSSABILITY, LLC
Entity type:Organization
Organization Name:POSSABILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:N
Authorized Official - Last Name:UDY
Authorized Official - Suffix:
Authorized Official - Credentials:BSHA
Authorized Official - Phone:801-592-5375
Mailing Address - Street 1:1011 S GRAND AVE W
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-3550
Mailing Address - Country:US
Mailing Address - Phone:801-592-5375
Mailing Address - Fax:
Practice Address - Street 1:1011 S GRAND AVE W
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-3550
Practice Address - Country:US
Practice Address - Phone:801-592-5375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child