CAPSTONE HEALTH GRP LLC (NPI# 1275573594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275573594 |
| Entity Type | Organization |
| Organization Name | CAPSTONE HEALTH GRP LLC |
| Practice Address |
300 Olive St Ste 505 Texarkana AR 71854 |
| Practice Telephone | 8707732376 |
| Practice Fax Number | 8707732517 |
| Mailing Telephone | 8707732376 |
| Mailing Fax Number | 8707732517 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KYLE DESHOTEL (OWNER) |
| Authorized Official Telephone | 8707732376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
332BP3500X | AR | Suppliers |
| Street Address |
300 OLIVE ST STE 505 |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962463075 | Patient Support Services, Inc | Durable Medical Equipment & Medical Supplies | 4310 Mcknight Rd, Texarkana, TX 75503-0802 | 2006-03-29 |
| 1972054468 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 100 East St, Texarkana, AR 71854 | 2016-10-19 |
| 1922383835 | Red River Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 1550 Moores Ln, Texarkana, TX 75503-4657 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1194349241 | Staley House LLC | Durable Medical Equipment & Medical Supplies | 804 Columbia, Helena, AR 72342-2816 | 2020-06-04 |
| 1720641707 | O'brian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1534 Malvern Ave Ste D, Hot Springs, AR 71901-6503 | 2019-04-16 |
| 1467892406 | Head To Toe | Durable Medical Equipment & Medical Supplies | 2195 Peyton St, Ward, AR 72176-8563 | 2013-07-03 |
| 1922326586 | Boone Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 803-a Highway 71 North, Mena, AR 71953 | 2010-05-06 |
| 1386831238 | Finnegans Inc. | Durable Medical Equipment & Medical Supplies | 6805 W 12th St Ste F, Little Rock, AR 72204-2465 | 2007-09-25 |
| 1023202801 | Absolute Nutrition LLC | Durable Medical Equipment & Medical Supplies | 1209 Commerce Dr Ste 101, Mountain Home, AR 72653-2601 | 2007-09-05 |
| 1912107848 | Homelink Home Health Care | Durable Medical Equipment & Medical Supplies | 309 Southridge Blvd., Suite F, Heber Springs, AR 72543-8877 | 2007-07-19 |
| 1194837229 | Med South Medical Inc | Durable Medical Equipment & Medical Supplies | 6415 Witt Ln Ste B, North Little Rock, AR 72118-2475 | 2006-08-31 |
| 1134145964 | Advanced Home Iv Services | Durable Medical Equipment & Medical Supplies | 1235 Sturgis Rd Ste 7, Conway, AR 72034-9688 | 2006-07-14 |
| 1518913474 | Bird and Bear Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2101 Ondra Dr, Searcy, AR 72143 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.