Healthcare Provider Details

I. General information

NPI: 1912962697
Provider Name (Legal Business Name): LOWER CAPE FEAR HOSPICE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 PHYSICIANS DRIVE
WILMINGTON NC
28401-7335
US

IV. Provider business mailing address

1414 PHYSICIANS DR
WILMINGTON NC
28401-7335
US

V. Phone/Fax

Practice location:
  • Phone: 910-796-7900
  • Fax: 910-796-7901
Mailing address:
  • Phone: 910-796-7900
  • Fax: 910-796-7901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHOS0416
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberHC2121
License Number StateNC

VIII. Authorized Official

Name: KAREN BRUBAKER MILLER
Title or Position: PRESIDENT/CEO
Credential: MSW
Phone: 910-796-7900