Healthcare Provider Details

I. General information

NPI: 1386667277
Provider Name (Legal Business Name): CAPITAL HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6404 IVY LN STE 801
GREENBELT MD
20770-1407
US

IV. Provider business mailing address

3180 FAIRVIEW PARK DR STE 600
FALLS CHURCH VA
22042-4516
US

V. Phone/Fax

Practice location:
  • Phone: 800-757-2508
  • Fax:
Mailing address:
  • Phone: 703-351-2807
  • Fax: 703-532-1054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberH1541
License Number StateMD

VIII. Authorized Official

Name: CRYSTAL BUCCIARELLI
Title or Position: VP, LEGAL SERVICES
Credential:
Phone: 813-871-8075