Healthcare Provider Details

I. General information

NPI: 1770628729
Provider Name (Legal Business Name): CAPEWAY ADULT DAY HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 WELBY RD
NEW BEDFORD MA
02745-1118
US

IV. Provider business mailing address

81 WELBY RD
NEW BEDFORD MA
02745-1118
US

V. Phone/Fax

Practice location:
  • Phone: 508-985-9076
  • Fax: 508-985-9026
Mailing address:
  • Phone: 508-985-9076
  • Fax: 508-985-9026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAKE A. COSME
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 508-985-9076