Provider Demographics
NPI:1275651028
Name:CAPITAL HEALTH CARE ASSOCIATES INC
Entity Type:Organization
Organization Name:CAPITAL HEALTH CARE ASSOCIATES INC
Other - Org Name:CAPITAL CITY NURSES HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, CAPITAL CITY NURSES
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-652-4344
Mailing Address - Street 1:8401 CONNECTICUT AVE STE 1030
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5844
Mailing Address - Country:US
Mailing Address - Phone:301-652-4344
Mailing Address - Fax:301-652-4757
Practice Address - Street 1:8401 CONNECTICUT AVE STE 1030
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5844
Practice Address - Country:US
Practice Address - Phone:301-652-4344
Practice Address - Fax:301-652-4757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR399251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC035384300Medicaid