Provider Demographics
NPI:1114997475
Name:CAPITAL HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:CAPITAL HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXCUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-217-1132
Mailing Address - Street 1:211 GIBSON ST NW
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2115
Mailing Address - Country:US
Mailing Address - Phone:703-737-6310
Mailing Address - Fax:571-258-1446
Practice Address - Street 1:211 GIBSON ST NW
Practice Address - Street 2:SUITE 207
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2115
Practice Address - Country:US
Practice Address - Phone:703-737-6310
Practice Address - Fax:571-258-1446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAEXEMPT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497480Medicare ID - Type UnspecifiedMEDIARE NUMBER