Provider Demographics
NPI:1497264642
Name:CAPRICORN HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:CAPRICORN HEALTHCARE SERVICES LLC
Other - Org Name:ACCESS HEALTHCARE LINKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:S
Authorized Official - Last Name:DEYANJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-443-0801
Mailing Address - Street 1:4505 E HILLSBOROUGH AVE STE E
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-5200
Mailing Address - Country:US
Mailing Address - Phone:813-443-0801
Mailing Address - Fax:813-628-8484
Practice Address - Street 1:4505 E HILLSBOROUGH AVE STE E
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-5200
Practice Address - Country:US
Practice Address - Phone:813-443-0801
Practice Address - Fax:813-628-8484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPRICORN HEALTHCARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-20
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care