Provider Demographics
NPI:1366527111
Name:CAPITAL CARE, INC
Entity type:Organization
Organization Name:CAPITAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:TIZIBONG
Authorized Official - Last Name:ATANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-787-0333
Mailing Address - Street 1:2401 BLUERIDGE AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4517
Mailing Address - Country:US
Mailing Address - Phone:202-787-0333
Mailing Address - Fax:301-933-2007
Practice Address - Street 1:2401 BLUERIDGE AVE
Practice Address - Street 2:301
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4517
Practice Address - Country:US
Practice Address - Phone:301-949-0466
Practice Address - Fax:301-933-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
385H00000X, 261QA0600X
DC320900000X, 251E00000X, 253Z00000X, 251F00000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion