Provider Demographics
NPI:1467448803
Name:CASCADE CORPORATION
Entity Type:Organization
Organization Name:CASCADE CORPORATION
Other - Org Name:COURTHOUSE CONV. CTR.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LNHA
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-465-7171
Mailing Address - Street 1:144 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2141
Mailing Address - Country:US
Mailing Address - Phone:609-465-7171
Mailing Address - Fax:
Practice Address - Street 1:144 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2141
Practice Address - Country:US
Practice Address - Phone:609-465-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ208300261QA0600X
NJ060507314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ000506OtherHORIZON BCBS (SUBACUTE)
NJ2093574OtherAETNA (HMO)
NJ3755100Medicaid
NJ0006099000OtherAMERIHEALTH
NJ1124427OtherHORIZON NJ HEALTH
NJ315228OtherHORIZON BCBS (SKILLED)
NJ92605OtherAMERICAID
NJ006099OtherINDEPENDENCE BLUE CROSS
NJ4432324OtherAETNA (TRADITIONAL)
NJ4471601Medicaid
NJ0082201Medicaid
NJ315228AMedicare ID - Type Unspecified
NJ0006099000OtherAMERIHEALTH