NPIMap

Organization Active NPI

Lower Cape Fear Hospice, Inc

Doing business as Lower Cape Fear LifeCare

  • Community Based Hospice Care Agency
  • Wilmington, NC
National Provider Identifier
1336117753
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HC0531 Issued in NC
Legal business name
LOWER CAPE FEAR HOSPICE, INC
Doing business as
Lower Cape Fear LifeCare
Practice address
1414 Physicians Dr
Wilmington, NC 28401-7335
Phone
(910) 796-7900
Fax
(910) 796-7901
NPI assigned
Mar 10, 2006
Last updated
Feb 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gwen Whitley, RN
Title
Presiden/Ceo
Phone
(910) 796-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HC0531 NC Primary

Addresses

Primary practice location

1414 Physicians Dr
Wilmington, NC 28401-7335

Mailing address

1414 Physicians Dr
Wilmington, NC 28401-7335
Phone (910) 796-7957

Other identifiers 3

IdentifierTypeStateIssuer
566000326009OtherNCTRICARE
0079VOtherNCBLUE CROSS & BLUE SHIELD
3401577MedicaidNC

Other names 1

  • Lower Cape Fear LifeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lower Cape Fear Hospice Incorporated5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

127 Center St
Jacksonville, NC 28546
Phone (910) 219-8000

2013 Lejeune Blvd
Jacksonville, NC 28546
Phone (910) 455-3404

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1336117753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017335",
            "telephone_number": "910-796-7957",
            "fax_number": "910-341-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017335",
            "telephone_number": "910-796-7900",
            "fax_number": "910-796-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER CAPE FEAR HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "PRESIDEN/CEO",
        "authorized_official_telephone_number": "910-796-7900",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC0531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "566000326009",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0079V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401577",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Cape Fear LifeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.