Organization Active NPI

Capital Caring Stay at Home Service, Inc

  • Case Management Agency
  • Falls Church, VA
National Provider Identifier
1760015440
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CAPITAL CARING STAY AT HOME SERVICE, INC
Practice address
3180 Fairview Park Drive
Ste 600
Falls Church, VA 22042
Phone
(703) 712-4874
NPI assigned
Feb 20, 2020
Organization subpart
Yes
Parent organization
CAPITAL CARING HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Keith Everett
Title
Chief Performance & Compliance Offi
Phone
(703) 712-4874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3180 Fairview Park Drive
Ste 600
Falls Church, VA 22042

Mailing address

3180 Fairview Park Drive
Ste 600
Falls Church, VA 22042
Phone (703) 712-4874

National Provider Directory

National Provider Directory

Locations

3180 Fairview Park Dr
Ste 600
Falls Church, VA 22042
Phone (703) 333-6969

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1760015440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 FAIRVIEW PARK DRIVE",
            "address_2": "STE 600",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "703-712-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 FAIRVIEW PARK DRIVE",
            "address_2": "STE 600",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "703-712-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CARING STAY AT HOME SERVICE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL CARING HEALTH",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF PERFORMANCE & COMPLIANCE OFFI",
        "authorized_official_telephone_number": "703-712-4874"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.