Capitol Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAPITOL HEALTHCARE INC

Doing business as

Capitol Home Health Care

Practice address

9766 Waterman Rd Ste L3
Elk Grove, CA 95624-9472

Phone

(916) 667-3876

Fax

(916) 895-2807

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Maliha AgloriaNPI 1932229234

Title

President

Phone

(513) 309-1595

Specialties & licenses 1

Addresses

Other names 1

• Capitol Home Health Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659917979. Details of each certification follow.

• CCN 559235 Home health agency · Active · Details

Home health agency certification: CCN 559235

Legal name

CAPITOL HEALTHCARE INC

Doing business as

CAPITOL HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 11, 2020

Last certification

Sep 11, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 20, 2019 in CA

Enrollment address

9766 Waterman Rd
Ste L3
Elk Grove, CA 95624-9472

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Capitol Healthcare Inc

  dba Capitol Hospice Care

  • Community Based Hospice Care Agency
  • Elk Grove, CA
  • NPI 1861038184

  9931532504

  Same PAC ID

Listed as

Aura Home HealthCCN 559235 · All quality measures

Ownership

Proprietary

Certified

Sep 11, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Capitol Healthcare Inc2 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.

• Capitol Healthcare Inc

  dba Capitol Hospice Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Elk Grove, CA
  • NPI 1063035459
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Maliha Agloria

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1932229234

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maliha Agloria

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1932229234
  NPD (past) Authorized official

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1659917979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9766 WATERMAN RD STE L3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249472",
            "telephone_number": "916-667-3876",
            "fax_number": "916-895-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9766 WATERMAN RD STE L3",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249472",
            "telephone_number": "916-667-3876",
            "fax_number": "916-895-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "AGLORIA",
        "authorized_official_first_name": "MALIHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-309-1595"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@capitol-healthcare.com",
            "affiliation": "N",
            "address_1": "9766 Waterman Rd Ste L3",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956249472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Capitol Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candace Cantillo
• Linh Khanh Cao
• Mercy Cao
• Michelle Cao
• Capitol Healthcare Inc (Capitol Hospice Care)
• Capitol Healthcare Inc (Capitol Hospice Care)
• Capitol Periodontal Group
• Kimberly Capp
• Capstone Orthopedic, Inc. (Capstone Prosthetic and Orthotics)
• Adrian Correa Carandang

• Home Health Agency in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.