MEDICARE: CAPITAL HEALTH 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1487038097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL HEALTH LLC

Provider Business Mailing Address
First Line	:	3393 BRIDGEMORE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4009
Country	:	US
Telephone Number	:	614-316-5541
Fax Number	:

Provider Business Practice Location Address
First Line	:	3393 BRIDGEMORE DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4009
Country	:	US
Telephone Number	:	614-316-5541
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. DANIEL ESSIEN
Credential	:
Telephone Number	:	614-316-5541

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	07/13/2015

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Directions to “CAPITAL HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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