Healthcare Provider Details

I. General information

NPI: 1053006064
Provider Name (Legal Business Name): POSSABILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 S GRAND AVE W
SPRINGFIELD IL
62704-3550
US

IV. Provider business mailing address

1011 S GRAND AVE W
SPRINGFIELD IL
62704-3550
US

V. Phone/Fax

Practice location:
  • Phone: 217-725-1415
  • Fax: 217-679-1415
Mailing address:
  • Phone: 217-927-7333
  • Fax: 217-679-1415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MADISON N UDY
Title or Position: OWNER/DIRECTOR
Credential: BSHA, CDP, QIDP
Phone: 217-725-1851