Provider Demographics
NPI:1154574325
Name:CAPITAL HOME HEALTH CARE
Entity type:Organization
Organization Name:CAPITAL HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN ORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-737-6310
Mailing Address - Street 1:211 GIBSON ST NW
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2115
Mailing Address - Country:US
Mailing Address - Phone:703-737-6310
Mailing Address - Fax:703-737-6315
Practice Address - Street 1:211 GIBSON ST NW
Practice Address - Street 2:SUITE 207
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2115
Practice Address - Country:US
Practice Address - Phone:703-737-6310
Practice Address - Fax:703-737-6315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health