NPIMap

Organization Active NPI

Capricorn Healthcare Services LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1497264642
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAPRICORN HEALTHCARE SERVICES LLC
Practice address
4505 E Hillsborough Ave Ste E
Tampa, FL 33610-5200
Phone
(813) 443-0801
Fax
(813) 628-8484
NPI assigned
Sep 20, 2017
Organization subpart
Yes
Parent organization
CAPRICORN HEALTHCARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Mr. Vincent S Deyanju
Title
Owner
Phone
(813) 443-0801

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4505 E Hillsborough Ave Ste E
Tampa, FL 33610-5200

Mailing address

4505 E Hillsborough Ave Ste E
Tampa, FL 33610-5200
Phone (813) 443-0801

Other names 1

  • ACCESS HEALTHCARE LINKS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capricorn Healthcare Services LLC2 organizations share this tax ID, including this one
Part of
Capricorn Healthcare Services LLC

Other organizations with this tax ID 1

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

Locations

4505 E Hillsborough Ave
Ste E
Tampa, FL 33610
Phone (813) 443-0801

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1497264642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 E HILLSBOROUGH AVE STE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336105200",
            "telephone_number": "813-443-0801",
            "fax_number": "813-628-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 E HILLSBOROUGH AVE STE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336105200",
            "telephone_number": "813-443-0801",
            "fax_number": "813-628-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPRICORN HEALTHCARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPRICORN HEALTHCARE SERVICES LLC",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "DEYANJU",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-443-0801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS HEALTHCARE LINKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.