Provider Demographics
NPI:1417555012
Name:CAPITOL HOME HEALTH, INC.
Entity Type:Organization
Organization Name:CAPITOL HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:TRAM
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-568-4042
Mailing Address - Street 1:13609 VICTORY BLVD STE 228
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6430
Mailing Address - Country:US
Mailing Address - Phone:818-457-6514
Mailing Address - Fax:
Practice Address - Street 1:13609 VICTORY BLVD STE 228
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6430
Practice Address - Country:US
Practice Address - Phone:818-457-6514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOVSEPYAN INVESTMENTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-15
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health