Healthcare Provider Details

I. General information

NPI: 1619496841
Provider Name (Legal Business Name): ABILITY LINKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 SHREWSBURY ST
WORCESTER MA
01604
US

IV. Provider business mailing address

377 SHREWSBURY ST
WORCESTER MA
01604-1632
US

V. Phone/Fax

Practice location:
  • Phone: 321-987-8348
  • Fax:
Mailing address:
  • Phone: 321-987-8348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: IAN NYAGA GATHECA
Title or Position: CO-FOUNDER
Credential:
Phone: 321-987-8348