Active NPI
Crest Haven Home Care
- Home Health Agency
- Cape May Court House, NJ
National Provider Identifier
1841420163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 22384
- Legal business name
- CREST HAVEN HOME CARE
- Practice address
- 4 Moore Rd
DN 619
Cape May Court House, NJ 08210-1654 - Phone
- (609) 465-1260
- Fax
- (609) 465-3427
- NPI assigned
- Jul 21, 2009
- 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, LONG TERM CARE ADMIN
- Title
- Administrator
- Phone
- (609) 465-6816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 22384 | NJ | Primary |
Addresses
Primary practice location
4 Moore Rd
DN 619
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 |
|---|---|---|---|
| 3688020 | Medicaid | NJ |
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.
-
- Skilled Nursing Facility
- Cape May Court House, NJ
- NPI 1073504411
-
- Non-Surgical Family Planning Clinic/Center
- Cape May Court House, NJ
- NPI 1710008255
-
- Home Delivered Meals
- Rio Grande, NJ
- NPI 1023409497
Locations
4 Moore Rd
Cape May Court House, NJ 08210
Phone (609) 465-1206
4 Moore Rd
#619
Cape May Court House, NJ 08210
Phone (609) 465-1260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248134400000",
"number": "1841420163",
"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": "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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREST HAVEN HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"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": "609-465-6816",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LONG TERM CARE ADMIN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "22384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3688020",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape May Court House, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.