Organization Active NPI

Capstone Health Jacksonville, LLC

Doing business as Vital Care of Palm Coast

  • Home Infusion Therapy Pharmacy
  • Palm Coast, FL
National Provider Identifier
1689569550
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
CAPSTONE HEALTH JACKSONVILLE, LLC
Doing business as
Vital Care of Palm Coast
Practice address
80 Pinnacles Dr Ste 900
Palm Coast, FL 32164-2915
Phone
(386) 477-0010
Fax
(386) 477-0011
NPI assigned
Jun 11, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Brad J. Manning
Title
Owner
Phone
(386) 477-0010

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

80 Pinnacles Dr Ste 900
Palm Coast, FL 32164-2915

Mailing address

80 Pinnacles Dr Ste 900
Palm Coast, FL 32164-2915
Phone (386) 477-0010

Other names 1

  • Vital Care of Palm Coast Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1689569550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR STE 900",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642915",
            "telephone_number": "386-477-0010",
            "fax_number": "386-477-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR STE 900",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642915",
            "telephone_number": "386-477-0010",
            "fax_number": "386-477-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTH JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-477-0010"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Palm Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.