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Organization

CAPITAL HOSPICE

Active
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Organization

CAPITAL HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW GUY KESTENBAUM MD (CMO)
(703) 957-1888
Entity
Organization

Contact information

Practice address
5225 WISCONSIN AVE NW STE 503, WASHINGTON, DC 20015-2034
(202) 244-8300
(202) 244-1413
Mailing address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4583
(703) 538-2066
(703) 532-1054

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
54192XXXX-65000704
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022013500
DC
01
117743
KAISER PERMANENTE
DC
Enumeration date
07/22/2006
Last updated
11/15/2022
Update your record

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