Healthcare Provider Details

I. General information

NPI: 1851834501
Provider Name (Legal Business Name): CAPITAL CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2016
Last Update Date: 04/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6120 KANSAS AVE NW STE 201
WASHINGTON, DC DC
20011
US

IV. Provider business mailing address

2401 BLUERIDGE AVE STE 301
SILVER SPRING MD
20902-4517
US

V. Phone/Fax

Practice location:
  • Phone: 202-787-0333
  • Fax: 202-722-1220
Mailing address:
  • Phone: 202-787-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateDC

VIII. Authorized Official

Name: MR. PAUL TIZIBONG ATANG
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 202-787-0333