Capital Care, Inc – Home Health Agency

Key facts

NPI: 1851834501
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
Legal business name: CAPITAL CARE, INC
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
Organization subpart: No

Authorized official

Name: Mr. Paul Tizibong Atang
Title: President and Ceo
Phone: (202) 787-0333

Owners & managing parties with NPI records 1

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

Jean Margaret Welsh, MD Family Medicine Physician · Silver Spring, MD · NPI 1861592461

CMS ownership 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.

Capital Care, Inc Home Health Agency · Washington, DC · NPI 1447749593

NPPES parent name

Corporate family (same tax ID) 2

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

Capital Care, Inc Home Health Agency · Washington, DC · NPI 1447749593

NPD tax ID
Capital Care, Inc Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Silver Spring, MD · NPI 1366527111

NPD tax ID

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Christie Abe Abegesah Licensed Practical Nurse · Washington, DC · NPI 1912712571

NPD (past)
Temitope Josephine Akinloye Home Health Aide · Washington, DC · NPI 1891529301

NPD (past)
Eunice Forbisi Home Health Aide · Washington, DC · NPI 1144199092

NPD (past)
Perry-Lyev Ngwa Home Health Aide · Washington, DC · NPI 1376002394

NPD (past)
Elizabeth Guma Sawaneh Home Health Aide · Washington, DC · NPI 1225606312

NPD (past)

Medicare Care Compare: Home health agency

Listed as: Capitol Care Inc CCN 097075
Ownership: Proprietary
Certified: Nov 16, 2017
Medicare certification status: Active (Provider of Services file)
Services: Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
09D2138860	Capital Care Home Care Agency 6856 Eastern Ave NW Suite 310, Washington, DC 20012	Certificate of waiver	Oct 24, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in DC

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 · Proprietary
Incorporated: Jan 20, 2005 in MD
Enrollment address: 6856 Eastern Ave NW
Ste 310
Washington, DC 20012-2170

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 Individual	5% Or Greater Direct Ownership Interest	Dec 5, 2016	100%
	Corporate Officer Ceo	Dec 5, 2016
	Corporate Director Baord Member	Dec 5, 2016
	W-2 Managing Employee Ceo	Dec 5, 2016
Jean M Welsh Individual	Corporate Director Board Member	Jan 1, 2017
Afanwi Lum Individual	Corporate Officer Finance Officer	Jan 1, 2017
	Corporate Director Board Member	Jan 1, 2017
	W-2 Managing Employee Finance Officer	Jan 1, 2017
	Operational/Managerial Control Finance Officer	Jan 1, 2017
Tonya W Lockwood Individual	Corporate Director Board Member	Jan 1, 2017
Yvonne Atang Individual	Corporate Officer Secretary	Jan 1, 2017
	Corporate Director Board Member	Jan 1, 2017
	W-2 Managing Employee Secretary	Jan 1, 2017
	Operational/Managerial Control Secretary	Jan 1, 2017

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20170502000284	DC	Part a Provider - Home Health Agency	8426335399	Practice locations: Washington, DC

National Provider Directory

Tax ID family: Capital Care Inc (3 organizations share this tax ID)

Locations

6856 Eastern Ave NW
Ste 310
Washington, DC 20012
Phone (202) 722-1234

Specialties & licenses

Specialty (taxonomy)	Code	State	Primary
Home Health Agency	251E00000X	DC	Yes
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 identifiers

Identifier	Type	State	Issuer
087695759	Medicaid	DC

Other names

Capital Care Home Care Agency Doing business as

Other providers in Washington, DC, DC

All providers in Washington, DC, DC · Home Health Agency in District of Columbia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.