Provider Demographics
NPI:1003018300
Name:CAPITOL HEALTHCARE GROUP, INC.
Entity Type:Organization
Organization Name:CAPITOL HEALTHCARE GROUP, INC.
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NACHTWEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-793-3650
Mailing Address - Street 1:2425 W ILES AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4255
Mailing Address - Country:US
Mailing Address - Phone:217-793-3650
Mailing Address - Fax:217-793-3675
Practice Address - Street 1:2425 W ILES AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-4255
Practice Address - Country:US
Practice Address - Phone:217-793-3650
Practice Address - Fax:217-793-3675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health