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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Michael Patrick Campbell, M.D.
- Trista Nicole Campbell, RBT
- Brandon R Canaday, DMD
- Cancer Specialists, LLC (Cancer Specialists of North Florida)
- Regina Cannella, COTA/L
- Kristin Noelle Cardo Colton, ARNP
- Care Right Care LLC (Care Right)
- James Carey, PA-C
- Caring Hands of Love, LLC
- Caring Heart Family Nurse Practioner PLLC
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.