Organization Active NPI

Capital Care Services

  • Pediatric Skilled Nursing Facility
  • Saint Paul, MN
National Provider Identifier
1730433525
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
CAPITAL CARE SERVICES
Practice address
2380 Wycliff St
Ste. 200 RM 16
Saint Paul, MN 55114-1279
Phone
(651) 683-2086
Fax
(651) 683-2147
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mr. William Tyrone Davis
Title
President
Phone
(651) 683-2086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X MN Primary

Addresses

Primary practice location

2380 Wycliff St
Ste. 200 RM 16
Saint Paul, MN 55114-1279

Mailing address

2380 Wycliff St
Ste. 200 RM 16
Saint Paul, MN 55114-1279
Phone (651) 683-2086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1730433525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST",
            "address_2": "STE. 200 RM 16",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141279",
            "telephone_number": "651-683-2086",
            "fax_number": "651-683-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST",
            "address_2": "STE. 200 RM 16",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141279",
            "telephone_number": "651-683-2086",
            "fax_number": "651-683-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-683-2086",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.