# CAPSTONE HEALTHCARE,L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124781703
- **Authorized official:** MRS. ROSHANDA K. IVEY APRN, FNP-C (CEO)
- **Authorized official phone:** (386) 334-0095

## Contact information

- **Practice address:** 1001 GREAT OAKS DR, DAYTONA BEACH, FL 32117-3124
- **Practice address phone:** (386) 492-5635
- **Practice address fax:** (386) 246-7418
- **Mailing address:** 1001 GREAT OAKS DR, DAYTONA BEACH, FL 32117-3124
- **Mailing address phone:** (386) 492-5635
- **Mailing address fax:** (386) 246-7418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2021
- **Last updated:** 10/20/2021