Organization Active NPI

Capital Community Care

  • Case Management Agency
  • Augusta, ME
National Provider Identifier
1942917646
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CAPITAL COMMUNITY CARE
Practice address
70 State St
Augusta, ME 04330-5124
Phone
(207) 272-7004
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Hasan Al Khafaji
Title
Owner
Phone
(207) 272-7004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

70 State St
Augusta, ME 04330-5124

Mailing address

70 State St
Augusta, ME 04330-5124
Phone (207) 272-7004

Other names 1

  • Capital Community Care LLC Other name

National Provider Directory

National Provider Directory

Locations

70 State St
Augusta, ME 04330
Phone (207) 272-7004

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1942917646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305124",
            "telephone_number": "207-272-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 STATE ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305124",
            "telephone_number": "207-272-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "AL KHAFAJI",
        "authorized_official_first_name": "HASAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-272-7004"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Community Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.