Organization Active NPI

Capital Care, Inc

Doing business as Capital Care Home Care Agency

  • Home Health Agency
  • Washington DC, DC
National Provider Identifier
1851834501
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 097075 · All quality measures
Ownership
Proprietary
Certified
Nov 16, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D2138860Capital Care Home Care Agency6856 Eastern Ave NW Suite 310, Washington, DC 20012Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Capital Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

NameRoleSinceShare
Paul Atang Individual 5% Or Greater Direct Ownership Interest Dec 5, 2016 100%
Corporate OfficerCeo Dec 5, 2016
Corporate DirectorBaord Member Dec 5, 2016
W-2 Managing EmployeeCeo Dec 5, 2016
Jean M Welsh Individual Corporate DirectorBoard Member Jan 1, 2017
Afanwi Lum Individual Corporate OfficerFinance Officer Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
W-2 Managing EmployeeFinance Officer Jan 1, 2017
Operational/Managerial ControlFinance Officer Jan 1, 2017
Tonya W Lockwood Individual Corporate DirectorBoard Member Jan 1, 2017
Yvonne Atang Individual Corporate OfficerSecretary Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
W-2 Managing EmployeeSecretary Jan 1, 2017
Operational/Managerial ControlSecretary 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.

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.

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.

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

Verify at the official NPI Registry.