Capitol City Residential Health Care LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

CAPITOL CITY RESIDENTIAL HEALTH CARE LLC

Practice address

1608 E 10TH St
Indianapolis, IN 46201-1902

Phone

(317) 632-1851

Fax

(866) 480-7748

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Kellee R. Derico

Title

Administrator

Phone

(317) 632-1851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790994796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462011902",
            "telephone_number": "317-632-1851",
            "fax_number": "866-480-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462011902",
            "telephone_number": "317-632-1851",
            "fax_number": "866-480-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CITY RESIDENTIAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERICO",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-632-1851"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P Capes, MD
• Oriana Reis Capin, DDS
• Capital Care LLC
• Capital City Family Education Services
• Jacob M Capito, MD
• Capitol Street Surgery Center LLC
• Courtney Caplinger
• Melanie Weinstein Capobianco, MD
• Emma Noelle Cappella
• Morgan Rayne Cappelletti

• Assisted Living Facility (Mental Illness) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Assisted Living Facility (Mental Illness) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.