Healthcare Provider Details

I. General information

NPI: 1417555012
Provider Name (Legal Business Name): CAPITOL HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2020
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25060 AVENUE STANFORD STE 272
VALENCIA CA
91355-3411
US

IV. Provider business mailing address

25060 AVENUE STANFORD STE 272
VALENCIA CA
91355-3411
US

V. Phone/Fax

Practice location:
  • Phone: 818-568-4042
  • Fax: 562-600-3904
Mailing address:
  • Phone: 818-568-4042
  • Fax: 562-600-3904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNIE TRAM DARBY
Title or Position: CEO
Credential:
Phone: 818-669-0592