Capitol Diversified Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAPITOL DIVERSIFIED SERVICES, LLC

Doing business as

Living At Home

Practice address

7724 El Dorado Dr
Austin, TX 78737-3005

Phone

(512) 767-0055

Fax

(512) 597-8824

NPI assigned

Jun 12, 2012

Last updated

Nov 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald D Bennett

Title

Chief Executive Member

Phone

(512) 767-0055

Specialties & licenses 1

Addresses

Other names 1

• Living At Home Doing business as

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1699037085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92944",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787092944",
            "telephone_number": "512-767-0055",
            "fax_number": "512-597-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7724 EL DORADO DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787373005",
            "telephone_number": "512-767-0055",
            "fax_number": "512-597-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL DIVERSIFIED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MEMBER",
        "authorized_official_telephone_number": "512-767-0055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capitol City Family Practice
• Capitol City Health
• Capitol City Health & Rehabilitation Center, L.P. (Capitol City Health & Rehabilitation Center)
• Capitol City Limo Austin
• Capitol City Limo of Austin
• Capitol Emergency Associates PA
• Capitol Emergency Associates PA
• Capitol Gastro, PA
• Capitol Home Health, Inc.
• Capitol Imaging Partners,LLC

• In Home Supportive Care Agency in Austin, TX
• Providers in Austin, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.