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Contact Information

CAPITAL CITY CUSTOM HOME IMPROVEMENT LLC.
9635 US HIGHWAY 22 E
STOUTSVILLE, OH43154-9607
 Phone: 740-474-4299
 Fax: 740-474-4297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Modifications

171WH0202X
 

Vehicle Modifications

171WV0202X
Indicates primary specialty

NPI Profile & details for CAPITAL CITY CUSTOM HOME IMPROVEMENT LLC.

NPI Number 1922428929
LBN Legal business name CAPITAL CITY CUSTOM HOME IMPROVEMENT LLC.
Authorized official SCOTT REED - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2014
Last updated 05/31/2019 - About 7 years ago
Identifiers
OH Medicaid 0084332
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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