Provider Demographics
NPI:1003845140
Name:CAPITOL HOME HEALTH,INC
Entity Type:Organization
Organization Name:CAPITOL HOME HEALTH,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:RAMOS
Authorized Official - Last Name:RAVENSCROFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-679-2116
Mailing Address - Street 1:56 N MAIN ST
Mailing Address - Street 2:ROOM 302
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2132
Mailing Address - Country:US
Mailing Address - Phone:508-679-2116
Mailing Address - Fax:508-730-1639
Practice Address - Street 1:56 N MAIN ST
Practice Address - Street 2:ROOM 302
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2132
Practice Address - Country:US
Practice Address - Phone:508-679-2116
Practice Address - Fax:508-730-1639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0607088163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA227453Medicare ID - Type UnspecifiedNURSING HOMECARE AGENCY