Organization Active NPI

Captura 22, Inc.

  • In Home Supportive Care Agency
  • Vancouver, WA
National Provider Identifier
1730479890
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHSFS60203382 Issued in WA
Legal business name
CAPTURA 22, INC.
Doing business as
ComForcare Home Care
Practice address
9013 NE Highway 99 Ste Q
Vancouver, WA 98665-8943
Phone
(360) 718-8276
Fax
(360) 885-1565
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mrs. Debi Diane Kyle
Title
Vice President
Phone
(360) 718-8276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHSFS60203382 WA Primary

Addresses

Primary practice location

9013 NE Highway 99 Ste Q
Vancouver, WA 98665-8943

Mailing address

9013 NE Highway 99 Ste Q
Vancouver, WA 98665-8943
Phone (360) 718-8276

Other names 1

  • ComForcare Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

9013 NE Highway 99
Ste Q
Vancouver, WA 98665
Phone (360) 718-8276

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1730479890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 NE HIGHWAY 99 STE Q",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658943",
            "telephone_number": "360-718-8276",
            "fax_number": "360-885-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 NE HIGHWAY 99 STE Q",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658943",
            "telephone_number": "360-718-8276",
            "fax_number": "360-885-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTURA 22, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "DEBI",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "360-718-8276",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHSFS60203382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.