MEDICARE: ABILITYSPRING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1851276422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITYSPRING LLC

Provider Business Mailing Address
First Line	:	1266 4TH AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-4021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1266 4TH AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-4021
Country	:	US
Telephone Number	:	480-796-9275
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CALLIXTE KAYITANA
Credential	:
Telephone Number	:	480-796-9275

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

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Directions to “ABILITYSPRING LLC ” Practice Location

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