Provider Demographics
NPI:1871391359
Name:CAPITAL CARE SERVICES INC
Entity type:Organization
Organization Name:CAPITAL CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIRAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BETRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-890-1146
Mailing Address - Street 1:7826 EASTERN AVE NW STE 408
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1316
Mailing Address - Country:US
Mailing Address - Phone:202-525-1774
Mailing Address - Fax:202-525-1865
Practice Address - Street 1:7826 EASTERN AVE NW STE 408
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1316
Practice Address - Country:US
Practice Address - Phone:202-525-1774
Practice Address - Fax:202-525-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies