Provider Demographics
NPI:1093265480
Name:THE CAPSTONE GROUP, INC.
Entity Type:Organization
Organization Name:THE CAPSTONE GROUP, INC.
Other - Org Name:WINSLOW HOUSE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENSVOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-362-8916
Mailing Address - Street 1:3456 INDIAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-1119
Mailing Address - Country:US
Mailing Address - Phone:319-377-8296
Mailing Address - Fax:319-447-9388
Practice Address - Street 1:3456 INDIAN CREEK RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-1119
Practice Address - Country:US
Practice Address - Phone:319-377-8296
Practice Address - Fax:319-447-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA165440Medicare Oscar/Certification