=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346476454
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAPE CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2009
-----------------------------------------------------
Last Update Date | 06/03/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 30351 E MILL RUN
-----------------------------------------------------
City | MILTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19968-3456
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-236-2611
-----------------------------------------------------
Fax | 302-645-4856
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 331
-----------------------------------------------------
City | NASSAU
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19969
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-236-2611
-----------------------------------------------------
Fax | 302-645-4856
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | LYNDA MASSEY
-----------------------------------------------------
Credential | R.N.
-----------------------------------------------------
Telephone | 302-236-2611
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number | 2009602544
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------