Provider Demographics
NPI:1578091732
Name:CAPRICCIO ELITE, LLC
Entity Type:Organization
Organization Name:CAPRICCIO ELITE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIATT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CSAC
Authorized Official - Phone:276-221-0023
Mailing Address - Street 1:209 W OLDTOWN ST
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-3819
Mailing Address - Country:US
Mailing Address - Phone:276-221-0023
Mailing Address - Fax:
Practice Address - Street 1:209 W OLDTOWN ST
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-3819
Practice Address - Country:US
Practice Address - Phone:276-237-8210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-31
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care