CAPITAL CARE SERVICES (NPI# 1730433525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730433525 |
| Entity Type | Organization |
| Organization Name | CAPITAL CARE SERVICES |
| Practice Address |
2380 Wycliff St Ste. 200 Rm 16 Saint Paul MN 55114-1279 |
| Practice Telephone | 6516832086 |
| Practice Fax Number | 6516832147 |
| Mailing Telephone | 6516832086 |
| Mailing Fax Number | 6516832147 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | MR. WILLIAM TYRONE DAVIS (PRESIDENT) |
| Authorized Official Telephone | 6516832086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
MN | Nursing & Custodial Care Facilities |
| Street Address |
2380 WYCLIFF ST STE. 200 RM 16 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447236609 | Autism Society of Minnesota | Psychologist | 2380 Wycliff St, Suite 102, Saint Paul, MN 55114-1279 | 2005-12-20 |
| 1366895401 | Jennifer Sue Reinke | Marriage & Family Therapist | 2380 Wycliff St, #102, Saint Paul, MN 55114-1279 | 2016-07-13 |
| 1700124708 | Ndecision Medical Supply,llc | Durable Medical Equipment & Medical Supplies | 2380 Wycliff St, Suite 200 Room 16, Saint Paul, MN 55114-1279 | 2013-01-25 |
| 1205172814 | New Living, LLC | Home Health | 2380 Wycliff St, Suite 200, Saint Paul, MN 55114-1279 | 2012-12-31 |
| 1174897532 | Lender Kaye Foster | Registered Nurse | 2380 Wycliff St, Suite 200, Saint Paul, MN 55114-1279 | 2012-03-02 |
| 1568448728 | Barbara Luskin | Psychologist | 2380 Wycliff St, Suite 102, Saint Paul, MN 55114-1279 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763152 | Adam Home Healthcare | Skilled Nursing Facility | 1012 18th Ave Ne, Minneapolis, MN 55418-4624 | 2016-11-22 |
| 1194139261 | Community Nurse | Skilled Nursing Facility | 18072 Vance Circle, Elk River, MN 55330 | 2014-06-17 |
| 1275944936 | Fairhavens Home Care | Skilled Nursing Facility | 2608 87th Trl N, Brooklyn Park, MN 55443-3742 | 2014-05-15 |
| 1699029686 | Hawkeye Respiratory Services, LLC | Skilled Nursing Facility | 1223 Dupont Ln N, Brooklyn Park, MN 55444-2710 | 2012-10-30 |
| 1912199647 | Zachary Home Health Corporation | Skilled Nursing Facility | 680 Summer Ln, Eagan, MN 55123-3014 | 2007-08-16 |
| 1023353588 | Amazing Grace Home Care LLC | Skilled Nursing Facility | 515 E Grant St, Apt. 311, Minneapolis, MN 55404-1400 | 2012-12-10 |
| 1114153152 | Kaal Home Healthcare Services, Inc | Skilled Nursing Facility | 2327 E Franklin Ave, Suite 2, Minneapolis, MN 55406-1795 | 2009-06-04 |
| City | SAINT PAUL |
| Zip Code | 55114 |
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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.