Provider Demographics
NPI:1700499076
Name:CAPSTONE HEALTH
Entity Type:Organization
Organization Name:CAPSTONE HEALTH
Other - Org Name:CAPSTONE VITAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRADEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-992-8494
Mailing Address - Street 1:10501 S ORANGE AVE STE 123
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-7749
Mailing Address - Country:US
Mailing Address - Phone:407-992-8494
Mailing Address - Fax:
Practice Address - Street 1:10501 S ORANGE AVE STE 123
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-7749
Practice Address - Country:US
Practice Address - Phone:407-992-8494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition