Capitol Hill Supportive Services Program Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

025928400 Issued in DC

Legal business name

CAPITOL HILL SUPPORTIVE SERVICES PROGRAM INC.

Practice address

2052 W Virginia Ave NE
Washington, DC 20002-1832

Phone

(202) 543-4212

Fax

(202) 543-0059

NPI assigned

Dec 16, 2013

Last updated

Dec 16, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tonya Coppin, MS.ED;MS.SP,ED

Title

Executive Director

Phone

(202) 543-4212

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Capitol Hill Supportive Services Program Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Capitol Hill Supportive Services Programs

  • Developmentally Disabled Services Day Training Agency
  • Washington, DC
  • NPI 1588837637
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1083035125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 W VIRGINIA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021832",
            "telephone_number": "202-543-4212",
            "fax_number": "202-543-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 W VIRGINIA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021832",
            "telephone_number": "202-543-4212",
            "fax_number": "202-543-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL HILL SUPPORTIVE SERVICES PROGRAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "COPPIN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-543-4212",
        "authorized_official_credential": "MS.ED;MS.SP,ED"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "DC",
            "license": "025928400",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DC",
            "license": "025928400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025928400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capitol Hill Endodontics
• Capitol Hill LTAC Operations LLC (BridgePoint Continuing Care Hospital - Capitol Hill)
• Capitol Hill Medical Clinic
• Capitol Hill Pediatric Dentistry
• Capitol Hill SNF Operations LLC (Stanton Park Health & Rehabilitation)
• Capitol Hill Supportive Services Programs
• Capitol Hill Therapy LLC (Private Practice)
• Capitol Hill Wellness PLLC
• Capitol Ketamine and Wellness
• Capitol Kids Therapy

• Developmentally Disabled Services Day Training Agency in Washington, DC
• Providers in Washington, DC by specialty
• Developmentally Disabled Services Day Training Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.