Provider Demographics
NPI:1346476454
Name:CAPE CARE LLC
Entity Type:Organization
Organization Name:CAPE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:302-236-2611
Mailing Address - Street 1:P.O. BOX 331
Mailing Address - Street 2:
Mailing Address - City:NASSAU
Mailing Address - State:DE
Mailing Address - Zip Code:19969
Mailing Address - Country:US
Mailing Address - Phone:302-236-2611
Mailing Address - Fax:302-645-4856
Practice Address - Street 1:30351 E MILL RUN
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-3456
Practice Address - Country:US
Practice Address - Phone:302-236-2611
Practice Address - Fax:302-645-4856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2009602544251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management