Active NPI
Capital Care, Inc
Doing business as Capital Care Home Care Agency
- Home Health Agency
- Washington DC, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CAPITAL CARE, INC
- Doing business as
- Capital Care Home Care Agency
- Practice address
- 6120 Kansas Ave NW
Ste 201
Washington, DC, DC 20011 - Phone
- (202) 787-0333
- Fax
- (202) 722-1220
- NPI assigned
- Nov 29, 2016
- Last updated
- Apr 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Tizibong Atang
- Title
- President and Ceo
- Phone
- (202) 787-0333
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | DC | Primary | |
| Home Infusion Agency | 251F00000X | DC | ||
| In Home Supportive Care Agency | 253Z00000X | DC | ||
| Skilled Nursing Facility | 314000000X | DC | ||
| Pediatric Skilled Nursing Facility | 3140N1450X | DC | ||
| Respite Care | 385H00000X | |||
| Respite Care | 385H00000X | DC |
Addresses
Primary practice location
6120 Kansas Ave NW
Ste 201
Washington, DC, DC 20011
Mailing address
2401 Blueridge Ave
Ste 301
Silver Spring, MD 20902-4517
Phone (202) 787-0333
Other names 1
- Capital Care Home Care Agency
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170502000284 | DC | Part A Provider - Home Health Agency | 8426335399 | Practice locations: Washington, DC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1851834501. Details of each certification follow.
Home health agency certification: CCN 097075
- Legal name
- CAPITAL CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 16, 2017
- Last certification
- Sep 18, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 20, 2005 in MD
- Enrollment address
- 6856 Eastern Ave NW
Ste 310
Washington, DC 20012-2170
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Capitol Care Inc
- Ownership
- Proprietary
- Certified
- Nov 16, 2017
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D2138860 | Capital Care Home Care Agency | Certificate of waiver | Oct 24, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Capital Care Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Capital Care Home Care Agency (EPD)
- Home Health Agency
- Washington, DC
- NPI 1447749593
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Silver Spring, MD
- NPI 1366527111
Locations
6856 Eastern Ave NW
Ste 310
Washington, DC 20012
Phone (202) 722-1234
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Paul Atang | 5% Or Greater Direct Ownership Interest | Dec 5, 2016 | 100% |
| Corporate Officer | Dec 5, 2016 | ||
| Corporate Director | Dec 5, 2016 | ||
| W-2 Managing Employee | Dec 5, 2016 | ||
| Jean M Welsh | Corporate Director | Jan 1, 2017 | |
| Afanwi Lum | Corporate Officer | Jan 1, 2017 | |
| Corporate Director | Jan 1, 2017 | ||
| W-2 Managing Employee | Jan 1, 2017 | ||
| Operational/Managerial Control | Jan 1, 2017 | ||
| Tonya W Lockwood | Corporate Director | Jan 1, 2017 | |
| Yvonne Atang | Corporate Officer | Jan 1, 2017 | |
| Corporate Director | Jan 1, 2017 | ||
| W-2 Managing Employee | Jan 1, 2017 | ||
| Operational/Managerial Control | Jan 1, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Silver Spring, MD
- NPI 1861592461
Corporate Director
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Capital Care Home Care Agency (EPD)
- Home Health Agency
- Washington, DC
- NPI 1447749593
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Practical Nurse
- Washington, DC
- NPI 1912712571
-
- Home Health Aide
- Washington, DC
- NPI 1891529301
-
- Home Health Aide
- Washington, DC
- NPI 1144199092
-
- Home Health Aide
- Washington, DC
- NPI 1376002394
-
- Home Health Aide
- Washington, DC
- NPI 1225606312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524614400000",
"number": "1851834501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 BLUERIDGE AVE",
"address_2": "STE 301",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024517",
"telephone_number": "202-787-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 KANSAS AVE NW",
"address_2": "STE 201",
"city": "WASHINGTON, DC",
"state": "DC",
"postal_code": "20011",
"telephone_number": "202-787-0333",
"fax_number": "202-722-1220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-29",
"last_updated": "2018-04-25",
"status": "A",
"authorized_official_last_name": "ATANG",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "TIZIBONG",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "202-787-0333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DC",
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "DC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capital Care Home Care Agency",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Capital Care Home Care Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington DC, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.