CAPITOL HILL SUPPORTIVE SERVICES PROGRAM INC.


Address: 2052 W Virginia Ave Ne, Washington, DC 20002-1832
Phone: 2025434212

CAPITOL HILL SUPPORTIVE SERVICES PROGRAM INC. (NPI# 1083035125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083035125
Entity Type Organization
Organization Name CAPITOL HILL SUPPORTIVE SERVICES PROGRAM INC.
Practice Address 2052 W Virginia Ave Ne
Washington
DC 20002-1832
Practice Telephone 2025434212
Practice Fax Number 2025430059
Mailing Telephone 2025434212
Mailing Fax Number 2025430059
Enumeration Date 2013-12-16
Last Update Date 2013-12-16
Authorized Official Name TONYA COPPIN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2025434212
Authorized Official Credential MS.ED;MS.SP,ED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 025928400 DC Residential Treatment Facilities
Y 251C00000X Day Training, Developmentally Disabled Services 025928400 DC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
DC 025928400 05

Office Location

Street Address 2052 W VIRGINIA AVE NE
City WASHINGTON
State DC
Zip Code 20002-1832

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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

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1780199133 Dawn Center for Independent Living, Inc. Day Training, Developmentally Disabled Services 150 Boulevard Ste 2, Washington, NJ 07882-1760 2017-12-07
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City WASHINGTON
Zip Code 20002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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