Organization · NPI-2

Capitol Healthcare Group, INC.

Home Health · Springfield, IL

NPI number1003018300
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1003018300
Entity type
Organization (NPI-2)
Legal business name
Capitol Healthcare Group, INC.
Organization subpart
No
Enumeration date
May 31, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Interim Healthcare (Doing Business As)

Practice location

2425 W Iles Ave
Suite 101
Springfield, IL 62704-4255

Phone 217-793-3650 · Fax 217-793-3675

Mailing address

2425 W Iles Ave
Suite 101
Springfield, IL 62704-4255

Phone 217-793-3650 · Fax 217-793-3675

Authorized official

James Nachtwey
President
2177933650

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