Provider Demographics
NPI:1154635910
Name:CAPITAL PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:CAPITAL PROFESSIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-673-7500
Mailing Address - Street 1:1640 FRANKLIN AVE
Mailing Address - Street 2:STE. 108-101
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-4383
Mailing Address - Country:US
Mailing Address - Phone:330-673-7500
Mailing Address - Fax:330-673-1537
Practice Address - Street 1:1640 FRANKLIN AVE
Practice Address - Street 2:STE. 108-101
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-4383
Practice Address - Country:US
Practice Address - Phone:330-673-7500
Practice Address - Fax:330-673-1537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care