MEDICARE: CAPITAL 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	3140N1450X	Pediatric Skilled Nursing Facility		MN

General Provider Information

NPI Number	:	1730433525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL CARE SERVICES

Provider Business Mailing Address
First Line	:	2380 WYCLIFF ST
Second Line	:	STE. 200 RM 16
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1279
Country	:	US
Telephone Number	:	651-683-2086
Fax Number	:	651-683-2147

Provider Business Practice Location Address
First Line	:	2380 WYCLIFF ST
Second Line	:	STE. 200 RM 16
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1279
Country	:	US
Telephone Number	:	651-683-2086
Fax Number	:	651-683-2147

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM TYRONE DAVIS
Credential	:
Telephone Number	:	651-683-2086

Provider Enumeration Date	:	11/01/2012
Last Update Date	:	11/02/2012

Similar Medicare Providers

1447236609 — AUTISM SOCIETY OF MINNESOTA
Practice Location Address:

2380 WYCLIFF ST , SUITE 102
SAINT PAUL, MN
55114-1279

Practice Phone: 651-647-1083
Practice Fax:

1568448728 — BARBARA LUSKIN PH.D., L.P.
Practice Location Address:

2380 WYCLIFF ST , SUITE 102
SAINT PAUL, MN
55114-1279

Practice Phone: 651-647-1083
Practice Fax: 651-642-1230

1174897532 — LENDER KAYE FOSTER
Practice Location Address:

2380 WYCLIFF ST , SUITE 200
SAINT PAUL, MN
55114-1279

Practice Phone: 651-528-6346
Practice Fax: 651-528-7056

1205172814 — NEW LIVING, LLC
Practice Location Address:

2380 WYCLIFF ST , SUITE 200
SAINT PAUL, MN
55114-1279

Practice Phone: 651-528-6346
Practice Fax: 651-528-7056

1700124708 — NDECISION MEDICAL SUPPLY,LLC
Practice Location Address:

2380 WYCLIFF ST , SUITE 200 ROOM 16
SAINT PAUL, MN
55114-1279

Practice Phone: 651-683-2086
Practice Fax: 651-683-2147

1366895401 — JENNIFER SUE REINKE
Practice Location Address:

2380 WYCLIFF ST , #102
SAINT PAUL, MN
55114-1279

Practice Phone: 651-647-1083
Practice Fax:

Directions to “CAPITAL CARE SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.