Provider Demographics
NPI:1386814093
Name:CAPUANO PRIVATE HOME CARE INC
Entity Type:Organization
Organization Name:CAPUANO PRIVATE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FANNIE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-525-2124
Mailing Address - Street 1:265 BENTON DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:E LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3219
Mailing Address - Country:US
Mailing Address - Phone:413-525-2124
Mailing Address - Fax:413-525-5691
Practice Address - Street 1:265 BENTON DR
Practice Address - Street 2:SUITE 201
Practice Address - City:E LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3219
Practice Address - Country:US
Practice Address - Phone:413-525-2124
Practice Address - Fax:413-525-5691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health