Healthcare Provider Details

I. General information

NPI: 1750171054
Provider Name (Legal Business Name): CAPE HOPE HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 E MAIN ST
ELKTON MD
21921-5790
US

IV. Provider business mailing address

224 E MAIN ST
ELKTON MD
21921-5790
US

V. Phone/Fax

Practice location:
  • Phone: 410-988-5094
  • Fax:
Mailing address:
  • Phone: 410-988-5094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TYRONE JACKSON
Title or Position: CEO
Credential: BS, MHA, MBA
Phone: 410-409-1654