MEDICARE: CAPITAL HOSPICE

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	315D00000X	Inpatient Hospice	H1857	VA
2	251G00000X	Community Based Hospice Care Agency	HSP-0617	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200091	OTHER	VA	KAISER PERMANENTE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568485894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL HOSPICE

Provider Business Mailing Address
First Line	:	3180 FAIRVIEW PARK DR STE 500
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-4583
Country	:	US
Telephone Number	:	703-538-2065
Fax Number	:	703-532-1054

Provider Business Practice Location Address
First Line	:	3180 FAIRVIEW PARK DR STE 500
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-4583
Country	:	US
Telephone Number	:	703-538-2065
Fax Number	:	703-532-1054

Authorized Official
Title or Position	:	VP, LEGAL SERVICES
Name	:	CRYSTAL BUCCIARELLI
Credential	:
Telephone Number	:	813-871-8075

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/01/2025

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Directions to “CAPITAL HOSPICE ” Practice Location

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