Provider Demographics
NPI:1073385902
Name:CAPITAL HOME CARE LLC
Entity Type:Organization
Organization Name:CAPITAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFRASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-995-4943
Mailing Address - Street 1:14460 FALLS OF NEUSE RD STE 149-155
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8227
Mailing Address - Country:US
Mailing Address - Phone:919-995-4943
Mailing Address - Fax:
Practice Address - Street 1:104 S WHITE ST STE 100
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2773
Practice Address - Country:US
Practice Address - Phone:919-995-4943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
No385H00000XRespite Care FacilityRespite Care