NPIMap

Organization Active NPI

Capstone Healthcare,L.L.C

  • In Home Supportive Care Agency
  • Daytona Beach, FL
National Provider Identifier
1124781703
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAPSTONE HEALTHCARE,L.L.C
Practice address
1001 Great Oaks Dr
Daytona Beach, FL 32117-3124
Phone
(386) 492-5635
Fax
(386) 246-7418
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Roshanda K. Ivey, APRN, FNP-CNPI 1417472242
Title
Ceo
Phone
(386) 334-0095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1001 Great Oaks Dr
Daytona Beach, FL 32117-3124

Mailing address

1001 Great Oaks Dr
Daytona Beach, FL 32117-3124
Phone (386) 492-5635

National Provider Directory

National Provider Directory
Tax ID family
Capstone Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1124781703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GREAT OAKS DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321173124",
            "telephone_number": "386-492-5635",
            "fax_number": "386-246-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GREAT OAKS DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321173124",
            "telephone_number": "386-492-5635",
            "fax_number": "386-246-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTHCARE,L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "ROSHANDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-334-0095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.