Provider Demographics
NPI:1427155795
Name:CAPE FEAR RESPICARE, INC.
Entity type:Organization
Organization Name:CAPE FEAR RESPICARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MARLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, RCP
Authorized Official - Phone:910-790-2080
Mailing Address - Street 1:6427 WINDMILL WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-0000
Mailing Address - Country:US
Mailing Address - Phone:910-790-2080
Mailing Address - Fax:910-790-0059
Practice Address - Street 1:6427 WINDMILL WAY
Practice Address - Street 2:SUITE A
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-0000
Practice Address - Country:US
Practice Address - Phone:910-790-2080
Practice Address - Fax:910-790-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1559227800000X, 332B00000X
NC00256332B00000X
NC2563336C0003X
NC072863336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty
No3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0419JOtherBCBS PROVIDER #
NC7701977Medicaid
0419JOtherBCBS PROVIDER
NC1156130001Medicare NSC