Organization Active NPI

Cape May County Crest Haven Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Cape May Court House, NJ
National Provider Identifier
1073504411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060501 Issued in NJ
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4471806MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
GovernmentNon-profit
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).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crest Haven Nursing and Rehabilitation CenterCCN 315294 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Apr 7, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
18095.8 residents per day on average
Penalties (3 years)
1Fines totaling $83,230

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Cape May County Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Jennifer Hess Individual W-2 Managing EmployeeAdministrator Oct 2, 2017 100%
T. Zachary Hohenstein Individual W-2 Managing EmployeeDirector of Finance 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.

FacilityTypeRoleSince
Cape Regional Home Health Care, LLCCape May Court House, NJ, CCN 317012 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.

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.