Healthcare Provider Details

I. General information

NPI: 1144011966
Provider Name (Legal Business Name): CAPITAL CARE CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1895 BRIGHTSEAT RD
LANDOVER MD
20785-4250
US

IV. Provider business mailing address

PO BOX 644
LANHAM MD
20703-0644
US

V. Phone/Fax

Practice location:
  • Phone: 301-909-4000
  • Fax: 301-909-4001
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MERCY OBAMOGIE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 301-909-4000