Healthcare Provider Details

I. General information

NPI: 1447749593
Provider Name (Legal Business Name): CAPITAL CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6120 KANSAS AVE NE STE 201
WASHINGTON DC
20011-1531
US

IV. Provider business mailing address

2401 BLUERIDGE AVE
SILVER SPRING MD
20902-4517
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-1234
  • Fax: 202-722-1220
Mailing address:
  • Phone: 202-787-0333
  • Fax: 301-933-2007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

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