MEDICARE: CAPITAL HOME CARE SERVICES

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	HCO 161281	VA

General Provider Information

NPI Number	:	1619342094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	5728 COLUMBIA PIKE
Second Line	:	SUITE 210
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2603
Country	:	US
Telephone Number	:	202-468-2513
Fax Number	:

Provider Business Practice Location Address
First Line	:	5728 COLUMBIA PIKE
Second Line	:	SUITE 210
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-2603
Country	:	US
Telephone Number	:	202-468-2513
Fax Number	:

Authorized Official
Title or Position	:	SUPERVISOR/OWNER
Name	:	RACHID OUMMARBIAA
Credential	:
Telephone Number	:	202-468-2513

Provider Enumeration Date	:	12/10/2015
Last Update Date	:	12/10/2015

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Directions to “CAPITAL HOME CARE SERVICES ” Practice Location

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