Provider Demographics
NPI:1083766836
Name:CAPEABILITIES
Entity Type:Organization
Organization Name:CAPEABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:THAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-778-5040
Mailing Address - Street 1:895 MARY DUNN RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2088
Mailing Address - Country:US
Mailing Address - Phone:508-778-5040
Mailing Address - Fax:508-778-9642
Practice Address - Street 1:895 MARY DUNN RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2088
Practice Address - Country:US
Practice Address - Phone:508-778-5040
Practice Address - Fax:508-778-9642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAVC6000160849251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1906496Medicaid
MA1319256Medicaid
MA1319256Medicaid