Healthcare Provider Details

I. General information

NPI: 1699380030
Provider Name (Legal Business Name): CAPSTONE HME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2020
Last Update Date: 09/12/2020
Certification Date: 09/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1129 MENTE DR
SAVANNAH GA
31415-3104
US

IV. Provider business mailing address

2215 15TH ST
TUSCALOOSA AL
35401-4610
US

V. Phone/Fax

Practice location:
  • Phone: 912-659-7730
  • Fax:
Mailing address:
  • Phone: 205-752-6260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DANIEL PEAKE
Title or Position: VICE PRESIDENT
Credential:
Phone: 205-292-1514