Active NPI
Capabilities, Inc.
- Community/Behavioral Health Agency
- Elmira, NY
National Provider Identifier
1285089003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CAPABILITIES, INC.
- Practice address
- 1149 Sullivan St
Elmira, NY 14901-1670 - Phone
- (607) 734-2006
- Fax
- (607) 734-1514
- NPI assigned
- Apr 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aj Kircher
- Title
- Executive Director
- Phone
- (607) 734-2006
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NY | ||
| Community/Behavioral Health Agency | 251S00000X | NY | Primary |
Addresses
Primary practice location
1149 Sullivan St
Elmira, NY 14901-1670
Mailing address
1149 Sullivan St
Elmira, NY 14901-1670
Phone (607) 734-2006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02890339 | Medicaid | NY | |
| 02171346 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Capabilities Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Elmira, NY
- NPI 1487649471
Locations
1149 Sullivan St
Elmira, NY 14901
Phone (607) 733-7661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461888000000",
"number": "1285089003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 SULLIVAN ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149011670",
"telephone_number": "607-734-2006",
"fax_number": "607-734-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 SULLIVAN ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149011670",
"telephone_number": "607-734-2006",
"fax_number": "607-734-1514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPABILITIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-29",
"last_updated": "2016-04-29",
"status": "A",
"authorized_official_last_name": "KIRCHER",
"authorized_official_first_name": "AJ",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "607-734-2006"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02890339",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02171346",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.