Provider Demographics
NPI:1922839430
Name:CAPTOR USA INC
Entity type:Organization
Organization Name:CAPTOR USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:IFTEKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-456-3103
Mailing Address - Street 1:4014 PRAIRIE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3920
Mailing Address - Country:US
Mailing Address - Phone:201-456-3103
Mailing Address - Fax:718-433-9002
Practice Address - Street 1:4014 PRAIRIE GROVE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3920
Practice Address - Country:US
Practice Address - Phone:201-456-3103
Practice Address - Fax:718-433-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care