Active NPI
Cape May County Crest Haven Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Cape May Court House, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060501
- Legal business name
- CAPE MAY COUNTY CREST HAVEN NURSING AND REHABILITATION CENTER
- Practice address
- 12 Moore Rd
Cape May Court House, NJ 08210-1654 - Phone
- (609) 465-1260
- Fax
- (609) 465-3427
- NPI assigned
- Nov 3, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margaret A. Gannon
- Title
- Administrator
- Phone
- (609) 465-1260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060501 | NJ | Primary |
Addresses
Primary practice location
12 Moore Rd
Cape May Court House, NJ 08210-1654
Mailing address
4 Moore Rd
DN 619
Cape May Court House, NJ 08210-1654
Phone (609) 465-1260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4471806 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120924000176 | NJ | Part A Provider - Skilled Nursing Facility | 2466633391 | Practice locations: Cape May Court House, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1073504411. Details of each certification follow.
Skilled nursing facility certification: CCN 315294
- Legal name
- COUNTY OF CAPE MAY
- Doing business as
- CREST HAVEN NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 7, 1990
- Last certification
- Apr 14, 2025
- Beds
- 180
- Ownership / control type
- Individual
- Organization structure
- Government
- Incorporated
- in NJ
- Enrollment address
- 12 Moore Rd
Cape May Court House, NJ 08210-1654 - Nursing home name
- CREST HAVEN NURSING AND REHABILITATION CENTER
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Cape May County Health Department
- Physical Therapy Clinic/Center
- Cape May Court House, NJ
- NPI 1962484659
2466633391
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Crest Haven Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Apr 7, 1990
- Medicare certification status
- Active
- Certified beds
- 180
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Cape May County Health
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Surgical Family Planning Clinic/Center
- Cape May Court House, NJ
- NPI 1710008255
-
dba Cape May County Department of Aging and Disability Services
- Home Delivered Meals
- Rio Grande, NJ
- NPI 1023409497
-
- Home Health Agency
- Cape May Court House, NJ
- NPI 1841420163
Locations
12 Moore Rd
Cape May Court House, NJ 08210
Phone (609) 465-1260
12 Moore Rd
#619
Cape May Court House, NJ 08210
1261 Route 9 S
Ste 5A
Cape May Court House, NJ 08210
Phone (609) 465-1187
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Hess | W-2 Managing Employee | Oct 2, 2017 | 100% |
| T. Zachary Hohenstein | W-2 Managing Employee | Oct 2, 2017 | 100% |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Cape Regional Home Health Care, LLC | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | May 23, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Cape May County Health Department
- Physical Therapy Clinic/Center
- Cape May Court House, NJ
- NPI 1962484659
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Villas, NJ
- NPI 1659328987
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Villas, NJ
- NPI 1659328987
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073504411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MOORE RD",
"address_2": "DN 619",
"city": "CAPE MAY COURT HOUSE",
"state": "NJ",
"postal_code": "082101654",
"telephone_number": "609-465-1260",
"fax_number": "609-465-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 MOORE RD",
"city": "CAPE MAY COURT HOUSE",
"state": "NJ",
"postal_code": "082101654",
"telephone_number": "609-465-1260",
"fax_number": "609-465-3427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPE MAY COUNTY CREST HAVEN NURSING AND REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GANNON",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "609-465-1260",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4471806",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape May Court House, NJ
- Cape Counseling Services, Inc
- Cape Emergency Physicians PA
- Cape Hospitalist Associates PA
- Cape Internal Medicine PC
- Cape May County Council for Young Children
- Cape May County Health Department
- Cape May County Special Services District
- Cape May County Special Services School District
- Cape May County Technical School District
- Cape May County Technical School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.