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STATE OF DELAWARE NPI 1104960079


NPI Information

NPI: 1104960079
Provider Name: STATE OF DELAWARE

Other Name: ACADEMY OF DOVER CHARTER SCHOOL

Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization

CLIA Number: 08D2211121

Address:
104 SAULSBURY RD
DOVER, DE
ZIP 19904
Phone: (302) 674-0684
Get Directions

STATE OF DELAWARE is a local education agency lea in Dover, DE. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. STATE OF DELAWARE NPI is 1104960079. The provider is registered as an organization entity type.
The provider Other Name Is Academy Of Dover Charter School.

The provider's business location address is:

104 SAULSBURY RD
DOVER, DE
ZIP 19904-705
Phone: (302) 674-0684

The provider's authorized official is Noel Rodriguez .
The authorized official title is Principal and has the following contact phone number (302) 674-0684.

The CLIA number assigned to this NPI record is 08D2211121 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 7/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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