Healthcare Provider Details

I. General information

NPI: 1912892795
Provider Name (Legal Business Name): CAPSTONE HEALTH PINELLAS COUNTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 BRYAN DAIRY RD STE A
LARGO FL
33777-1437
US

IV. Provider business mailing address

7500 BRYAN DAIRY RD STE A
LARGO FL
33777-1437
US

V. Phone/Fax

Practice location:
  • Phone: 813-829-1300
  • Fax: 813-829-1301
Mailing address:
  • Phone: 813-829-1300
  • Fax: 813-829-1301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRAD J. MANNING
Title or Position: OWNER
Credential:
Phone: 813-829-1300