Organization Name: | CAPITAL HEALTH SERVICE LLC |
NPI Number: | 1679906259 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARRELL HEWINS (OWNER) |
Mailing Address: | 700 Ne Main St Suite 6 Simpsonville |
State: | SC US |
Postal Code: | 296812027 |
Phone Number: | 8642283604 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2013 |
NPI Last Update Date: | 08/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 120416-0274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |