Provider Demographics
NPI:1437516184
Name:CAPITAL HOSPICE CARE
Entity Type:Organization
Organization Name:CAPITAL HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-532-4357
Mailing Address - Street 1:6299 LEESBURG PIKE
Mailing Address - Street 2:SUITE C
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2101
Mailing Address - Country:US
Mailing Address - Phone:703-321-6396
Mailing Address - Fax:866-578-5925
Practice Address - Street 1:6521 ARLINGTON BLVD STE 410
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3009
Practice Address - Country:US
Practice Address - Phone:703-321-6396
Practice Address - Fax:866-578-5925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHSP 16226251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based