Provider Demographics
NPI:1396087458
Name:CAPE HEAD INJURED PERSONS HOUSING AND EDUCATION GROUP INC
Entity type:Organization
Organization Name:CAPE HEAD INJURED PERSONS HOUSING AND EDUCATION GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROYDEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-790-9311
Mailing Address - Street 1:9 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-3430
Mailing Address - Country:US
Mailing Address - Phone:508-790-9311
Mailing Address - Fax:508-790-8603
Practice Address - Street 1:9 PARK AVE
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-3430
Practice Address - Country:US
Practice Address - Phone:508-790-9311
Practice Address - Fax:508-790-8603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home