Provider Demographics
NPI:1689679672
Name:CAPITAL HOMECARE, INC.
Entity Type:Organization
Organization Name:CAPITAL HOMECARE, INC.
Other - Org Name:SIMMS HOMECARE AND BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:CURTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:614-251-6129
Mailing Address - Street 1:4641 LEAP CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1175
Mailing Address - Country:US
Mailing Address - Phone:614-251-6129
Mailing Address - Fax:614-251-6167
Practice Address - Street 1:4641 LEAP CT
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1175
Practice Address - Country:US
Practice Address - Phone:614-251-6129
Practice Address - Fax:614-251-6167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHN/A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2547391Medicaid
OH368093Medicare ID - Type Unspecified