Provider Demographics
NPI:1699380030
Name:CAPSTONE HME INC
Entity Type:Organization
Organization Name:CAPSTONE HME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-292-1514
Mailing Address - Street 1:2215 15TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-4610
Mailing Address - Country:US
Mailing Address - Phone:205-752-6260
Mailing Address - Fax:
Practice Address - Street 1:1129 MENTE DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31415-3104
Practice Address - Country:US
Practice Address - Phone:912-659-7730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies