Provider Demographics
NPI:1386523983
Name:CAPITAL CITY RESIDENTIAL SERVICES LLC
Entity type:Organization
Organization Name:CAPITAL CITY RESIDENTIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZEPPORAH
Authorized Official - Middle Name:V
Authorized Official - Last Name:DOWTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-492-3598
Mailing Address - Street 1:10001 CHARTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-4123
Mailing Address - Country:US
Mailing Address - Phone:404-492-3598
Mailing Address - Fax:804-737-0939
Practice Address - Street 1:10001 CHARTWOOD CT
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-4123
Practice Address - Country:US
Practice Address - Phone:404-492-3598
Practice Address - Fax:804-737-0939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health