Provider Demographics
NPI:1619013620
Name:CAPE REGIONAL HOME CARE AND HOSPICE
Entity Type:Organization
Organization Name:CAPE REGIONAL HOME CARE AND HOSPICE
Other - Org Name:CAPE VISITING NURSE ASSOCIATION, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF OF LEGAL AFFAIRS & COMPLIANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIAPPINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-224-6914
Mailing Address - Street 1:176 RIVERSIDE AVENUE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1063
Mailing Address - Country:US
Mailing Address - Phone:732-224-6914
Mailing Address - Fax:732-784-9710
Practice Address - Street 1:1940 ROUTE 9 NORTH
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1110
Practice Address - Country:US
Practice Address - Phone:609-465-1205
Practice Address - Fax:609-624-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ24121251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ24121OtherNJ STATE HOSPICE LICENSE
NJ356123Medicaid
NJ24121OtherNJ STATE HOSPICE LICENSE
NJ24121OtherNJ STATE HOSPICE LICENSE