Organization Active NPI

Capabilities, Inc.

  • Community/Behavioral Health Agency
  • Elmira, NY
National Provider Identifier
1285089003
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 29, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02890339MedicaidNY
02171346MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Capabilities 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.

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.

Verify at the official NPI Registry.