Provider Demographics
NPI:1659150324
Name:CAPE COD ANGELS HOME CARE INC
Entity Type:Organization
Organization Name:CAPE COD ANGELS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILIANE
Authorized Official - Middle Name:SOUSA
Authorized Official - Last Name:BAENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-524-7828
Mailing Address - Street 1:307 W MAIN ST APT 11
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3657
Mailing Address - Country:US
Mailing Address - Phone:508-524-7828
Mailing Address - Fax:
Practice Address - Street 1:307 W MAIN ST APT 11
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3657
Practice Address - Country:US
Practice Address - Phone:508-524-7828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care