Provider Demographics
NPI:1619342094
Name:CAPITAL HOME CARE SERVICES
Entity Type:Organization
Organization Name:CAPITAL HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHID
Authorized Official - Middle Name:
Authorized Official - Last Name:OUMMARBIAA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-468-2513
Mailing Address - Street 1:5728 COLUMBIA PIKE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2603
Mailing Address - Country:US
Mailing Address - Phone:202-468-2513
Mailing Address - Fax:
Practice Address - Street 1:5728 COLUMBIA PIKE
Practice Address - Street 2:SUITE 210
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2603
Practice Address - Country:US
Practice Address - Phone:202-468-2513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO 161281253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care