MEDICARE: CAPE FEAR RESPICARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	HC1559	NC
2	3336C0003X	Community/Retail Pharmacy	256	NC
3	3336C0003X	Community/Retail Pharmacy	07286	NC
4	227800000X	Certified Respiratory Therapist	HC1559	NC
5	332B00000X	Durable Medical Equipment & Medical Supplies	00256	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0419J	OTHER	NC	BCBS PROVIDER #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0419J	OTHER		BCBS PROVIDER

General Provider Information

NPI Number	:	1427155795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPE FEAR RESPICARE, INC.

Provider Business Mailing Address
First Line	:	6427 WINDMILL WAY
Second Line	:	SUITE A
City	:	WILMINGTON
State	:	NC
Zip	:	28405-0000
Country	:	US
Telephone Number	:	910-790-2080
Fax Number	:	910-790-0059

Provider Business Practice Location Address
First Line	:	6427 WINDMILL WAY
Second Line	:	SUITE A
City	:	WILMINGTON
State	:	NC
Zip	:	28405-0000
Country	:	US
Telephone Number	:	910-790-2080
Fax Number	:	910-790-0059

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. DEBRA JEAN MARLOWE
Credential	:	RRT, RCP
Telephone Number	:	910-790-2080

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/25/2012

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Directions to “CAPE FEAR RESPICARE, INC. ” Practice Location

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