OrganizationActive
Enable, Inc.
NPI 1598942930 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bismarck, ND
Provider details
- NPI number
- 1598942930
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jon Larson, Executive Director(701) 255-2851
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1836 Raven Dr
Bismarck, ND 58501-1223
Phone: (701) 255-2851
Fax: (701) 258-4765
Street-level locationGet directions
Mailing address
1836 Raven Dr
Bismarck, ND 58501-1223
Other names (DBA / former)
- Doing business as
- South Washington
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2008-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.