SEA CARE LLC NPI 1164008017

NPI Information

NPI: 1164008017
Provider Name: SEA CARE LLC
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

CLIA Number: 08D2206748

Address:
25184 LEROY DR
GEORGETOWN, DE
ZIP 19947
Phone: (302) 381-5224
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SEA CARE LLC is an intellectual and developmental disabilities in Georgetown, DE. SEA CARE LLC NPI is 1164008017. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25184 LEROY DR
GEORGETOWN, DE
ZIP 19947-783
Phone: (302) 381-5224

The provider's authorized official is Nancy Beil .
The authorized official title is Ceo and has the following contact phone number (302) 381-5224.

The CLIA number assigned to this NPI record is 08D2206748 - other - community group home idd with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2021 and was last updated on 3/22/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000677	MEDICAID	DELAWARE

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: 4/28/2024

NPI Synchronization or Removal

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