MEDICARE: CAPITAL CARE HOME HEALTH AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417818519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL CARE HOME HEALTH AGENCY LLC

Provider Business Mailing Address
First Line	:	11490 COMMERCE PARK DR STE 520
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-1574
Country	:	US
Telephone Number	:	703-576-0973
Fax Number	:

Provider Business Practice Location Address
First Line	:	11490 COMMERCE PARK DR STE 520
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-1574
Country	:	US
Telephone Number	:	703-576-0973
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIAMA BAH
Credential	:
Telephone Number	:	703-576-0973

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	11/19/2025

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Directions to “CAPITAL CARE HOME HEALTH AGENCY LLC ” Practice Location

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