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CAPITAL CARE INC NPI 1366527111


NPI Information

NPI: 1366527111
Provider Name: CAPITAL CARE, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 09D2032390

Address:
2401 BLUERIDGE AVE
301
SILVER SPRING, MD
ZIP 20902
Phone: (301) 949-0466
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CAPITAL CARE, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Silver Spring, MD. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CAPITAL CARE, INC NPI is 1366527111. The provider is registered as an organization entity type.

The provider's business location address is:

2401 BLUERIDGE AVE
301
SILVER SPRING, MD
ZIP 20902-517
Phone: (301) 949-0466
Fax: (301) 933-2007

The provider's authorized official is Paul Tizibong Atang .
The authorized official title is President & Ceo and has the following contact phone number (202) 787-0333.

The CLIA number assigned to this NPI record is 09D2032390 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 11/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite CareNo
2261QA0600XClinic/CenterAdult Day CareNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesDISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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