Provider Demographics
NPI:1346566874
Name:CAPSTONE HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:CAPSTONE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, BSN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ODUNOLA
Authorized Official - Middle Name:FOLUKE
Authorized Official - Last Name:GBENRO-AJIBADE
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:614-895-8383
Mailing Address - Street 1:5965 WESTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4055
Mailing Address - Country:US
Mailing Address - Phone:614-895-8383
Mailing Address - Fax:
Practice Address - Street 1:5965 WESTERVILLE RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4055
Practice Address - Country:US
Practice Address - Phone:614-895-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1926657251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health