NPIMap

Organization Active NPI

Capital Health Care Associates LLC

  • Skilled Nursing Facility
  • Tallahassee, FL
National Provider Identifier
1790730463
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1073C96 Issued in FL
Legal business name
CAPITAL HEALTH CARE ASSOCIATES LLC
Practice address
3333 Capital Medical Blvd
Tallahassee, FL 32308-4415
Phone
(850) 877-4115
Fax
(850) 877-2828
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Gwendolyn S. Gamel
Title
Manager
Phone
(850) 877-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1073C96 FL Primary

Addresses

Primary practice location

3333 Capital Medical Blvd
Tallahassee, FL 32308-4415

Mailing address

3333 Capital Medical Blvd
Tallahassee, FL 32308-4415
Phone (850) 877-4115

Other identifiers 1

IdentifierTypeStateIssuer
025209300MedicaidFL

Other names 1

  • Capital Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1790730463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084415",
            "telephone_number": "850-877-4115",
            "fax_number": "850-877-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084415",
            "telephone_number": "850-877-4115",
            "fax_number": "850-877-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "GAMEL",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-877-4115"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1073C96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025209300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.