NPIMap

Organization Active NPI

Capital Hospice

  • Community Based Hospice Care Agency
  • Washington, DC
National Provider Identifier
1790706935
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
54192XXXX-65000704 Issued in DC
Legal business name
CAPITAL HOSPICE
Practice address
5225 Wisconsin Ave NW Ste 503
Washington, DC 20015-2034
Phone
(202) 244-8300
Fax
(202) 244-1413
NPI assigned
Jul 22, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Matthew Guy Kestenbaum, MD
Title
Cmo
Phone
(703) 957-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 54192XXXX-65000704 DC Primary

Addresses

Primary practice location

5225 Wisconsin Ave NW Ste 503
Washington, DC 20015-2034

Mailing address

3180 Fairview Park Dr Ste 500
Falls Church, VA 22042-4583
Phone (703) 538-2066

Other practice location 1

4401 Connecticut Ave NW
Suite 700
Washington, DC 20008-2322
Phone (202) 244-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030115000002 DC Part A Provider - Hospice 4486562394 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790706935. Details of each certification follow.

Hospice certification: CCN 091501

Legal name
CAPITAL HOSPICE
Doing business as
CAPTIAL CARING
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 19, 1986
Last certification
Dec 10, 2015
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Nov 18, 1998 in VA
Enrollment address
5225 Wisconsin Ave NW
Ste 503
Washington, DC 20015-2034

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Capital HospiceCCN 091501 · All quality measures
Ownership
Non-Profit
Certified
Dec 19, 1986
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Capital Hospice5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

4401 Connecticut Ave NW
Ste 700
Washington, DC 20008
Phone (202) 244-8300

3180 Fairview Park Dr
Ste 500
Falls Church, VA 22042
Phone (703) 485-8949

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew G Kestenbaum Individual W-2 Managing EmployeeChief Medical Officer Oct 1, 2022
John T Koutsoumpas Individual Corporate OfficerCeo Aug 1, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1790706935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 FAIRVIEW PARK DR STE 500",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220424583",
            "telephone_number": "703-538-2066",
            "fax_number": "703-532-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW STE 503",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152034",
            "telephone_number": "202-244-8300",
            "fax_number": "202-244-1413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Connecticut Ave NW",
            "address_2": "SUITE 700",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200082322",
            "country_code": "US",
            "telephone_number": "202-244-8300",
            "fax_number": "202-244-1413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "KESTENBAUM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "703-957-1888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "DC",
            "license": "54192XXXX-65000704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.