Provider Demographics
NPI:1629864418
Name:CAPITAL CARE LLC
Entity type:Organization
Organization Name:CAPITAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AGENCY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:317-551-7429
Mailing Address - Street 1:2322 N NEW JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-4338
Mailing Address - Country:US
Mailing Address - Phone:317-296-4279
Mailing Address - Fax:
Practice Address - Street 1:2322 N NEW JERSEY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-4338
Practice Address - Country:US
Practice Address - Phone:317-296-4279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care