| Organization Name: | CAPITAL PROVIDER SERVICES |
| NPI Number: | 1649657073 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GISCARD GRANT (OWNER) |
| Mailing Address: | 16701 Bealle Hill Forest Ln Accokeek |
| State: | MD US |
| Postal Code: | 206073351 |
| Phone Number: | 2404017295 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2015 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |