Organization
CAPITAL HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BUCCIARELLI (VP, LEGAL SERVICES)
(813) 871-8075
Entity
Organization
Contact information
Practice address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4583
(703) 538-2065
(703) 532-1054
Mailing address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4583
(703) 538-2065
(703) 532-1054
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSP-0617
VA
315D00000X
Inpatient Hospice
H1857
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200091
KAISER PERMANENTE
VA
05
—
VA004910591
—
VA
Enumeration date
07/26/2006
Last updated
08/01/2025
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