Capstone Healthcare, L.L.C.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

CAPSTONE HEALTHCARE, L.L.C.

Doing business as

Capstone Healthcare

Practice address

17347 Village Green Dr Ste 109
Jersey Village, TX 77040-1164

Phone

(832) 867-7851

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

David Gober

Title

Director

Phone

(832) 867-7851

Specialties & licenses 1

Addresses

Other names 1

• Capstone Healthcare Doing business as

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1174111827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17347 VILLAGE GREEN DR STE 109",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401164",
            "telephone_number": "832-867-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17347 VILLAGE GREEN DR STE 109",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401164",
            "telephone_number": "832-867-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTHCARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-867-7851"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capstone Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micah Ryan Bosley, M.D.
• Madeline Rose Brama, OTR, MOT
• Jasmine A Burton
• Patricia Buzombo
• Marie Theresa Byers
• Capstone Homecare, LLC
• Capstone Hospice, LLC
• Nancy Elaine Carmicheal
• Benjamin Carnes
• Regina Castillo

• Gerontology Nurse Practitioner in Jersey Village, TX
• Providers in Jersey Village, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.