Provider Demographics
NPI:1891362240
Name:CAPE SENIOR HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:CAPE SENIOR HOME HEALTHCARE LLC
Other - Org Name:CAPE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WINSOME
Authorized Official - Middle Name:VERONE
Authorized Official - Last Name:IRONS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:508-685-7929
Mailing Address - Street 1:47 CAPTAIN NOYES RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-2819
Mailing Address - Country:US
Mailing Address - Phone:508-685-7929
Mailing Address - Fax:
Practice Address - Street 1:923 ROUTE 6A UNIT Q
Practice Address - Street 2:
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-2159
Practice Address - Country:US
Practice Address - Phone:508-459-5735
Practice Address - Fax:508-469-6771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty