Provider Demographics
NPI:1871904391
Name:CAPITAL CARE INC
Entity type:Organization
Organization Name:CAPITAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PCA
Authorized Official - Prefix:MISS
Authorized Official - First Name:GEOGETTE
Authorized Official - Middle Name:KEHDINGA
Authorized Official - Last Name:AZAH
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:240-406-3303
Mailing Address - Street 1:2401 BLUERIDGE AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4517
Mailing Address - Country:US
Mailing Address - Phone:301-949-0466
Mailing Address - Fax:
Practice Address - Street 1:2401 BLUERIDGE AVE SUITE 301
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-949-0466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health