- Enrollment id
- O20030430000023
- Enrollment state
- VA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1568485894
- Multiple npi flag
- N
- Ccn
- 491500
- Associate id
- 4486562394
- Organization name
- CAPITAL HOSPICE
- Doing business as name
- CAPITAL CARING HEALTH
- Incorporation date
- 1998-11-18
- Incorporation state
- VA
- Organization type structure
- OTHER
- Organization other type text
- NON-PROFIT CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 3180 FAIRVIEW PARK DR
- Address line 2
- STE 600
- City
- FALLS CHURCH
- State
- VA
- Zip code
- 220424516