1407046642 NPI number — CAPITAL HOSPICE

Table of content: (NPI 1407046642)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407046642 NPI number — CAPITAL HOSPICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAPITAL HOSPICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407046642
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12470 TELECOM DR, STE 301
Provider Second Line Business Mailing Address:
ATTN: LEGAL SVS
Provider Business Mailing Address City Name:
TEMPLE TERRACE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33637-0904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-871-8111
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9885 GREENBELT RD FL 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANHAM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20706-2302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-883-0866
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BUCCIARELLI
Authorized Official First Name:
CRYSTAL
Authorized Official Middle Name:
Authorized Official Title or Position:
VP, LEGAL SERVICES
Authorized Official Telephone Number:
813-871-8075

Provider Taxonomy Codes

  • Taxonomy code: 208VP0014X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com