Organization
CAPITAL HOME HEALTH, LLC
Active
Other names
Concierge Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G YOUNG (SECRETARY & CAO)
(904) 733-1003
Entity
Organization
Contact information
Practice address
306 E 19TH ST STE B, PANAMA CITY, FL 32405-4718
(850) 553-4002
(850) 553-4004
Mailing address
4655 SALISBURY RD STE 110, JACKSONVILLE, FL 32256-0957
(904) 733-1003
(904) 448-8855
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20500096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0884270
CLIA WAIVER ID
FL
01
—
2050096
AHCA STATE LICENSE
FL
Enumeration date
02/20/2007
Last updated
05/20/2025
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