NPIMap

Organization Active NPI

Lower Cape Fear Hospice Incorporated

  • Case Management Agency
  • Wilmington, NC
National Provider Identifier
1669012563
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LOWER CAPE FEAR HOSPICE INCORPORATED
Practice address
1414 Physicians Dr
Wilmington, NC 28401-7335
Phone
(910) 796-7900
Fax
(910) 796-7901
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1414 Physicians Dr
Wilmington, NC 28401-7335

Mailing address

1414 Physicians Dr
Wilmington, NC 28401-7335
Phone (910) 796-7900

Other names 1

  • LOWER CAPE FEAR LIFECARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000909 NC Part B Supplier - Clinic/Group Practice 3375445190 Receives reassigned benefits from 41 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lower Cape Fear Hospice Inc5 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

509 E Fremont St
Burgaw, NC 28425
Phone (910) 259-1224

400 Mercer Mill Rd
Ste 2
Elizabethtown, NC 28337
Phone (910) 796-7900

954 US Highway 17 S
#B
Holly Ridge, NC 28445
Phone (910) 577-6660

10 Doctors Cir
Ste 4
Supply, NC 28462
Phone (910) 754-5356

121 W Main St
Whiteville, NC 28472
Phone (910) 642-9051

725 Wellington Ave
Ste A
Wilmington, NC 28401
Phone (910) 392-4881

1406 Physicians Dr
Wilmington, NC 28401
Phone (910) 762-9422

1314 3rd Ave
Conway, SC 29526
Phone (843) 848-6480

8216 Devon Ct
Myrtle Beach, SC 29572
Phone (843) 347-5500

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1669012563",
    "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": "910-796-7900",
            "fax_number": "910-796-7901"
        },
        {
            "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 INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-796-7900",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.