Provider Demographics
NPI:1275864035
Name:CAPRICON HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:CAPRICON HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:YUDA
Authorized Official - Last Name:MWEDZIWENDIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:469-952-1321
Mailing Address - Street 1:2517 DUNBAR DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-9129
Mailing Address - Country:US
Mailing Address - Phone:469-952-1321
Mailing Address - Fax:
Practice Address - Street 1:2517 DUNBAR DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-9129
Practice Address - Country:US
Practice Address - Phone:469-952-1321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692766251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health