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INGLESIDE HOMES INC NPI 1164563797


NPI Information

NPI: 1164563797
Provider Name: INGLESIDE HOMES, INC

Former Legal Business Name: INGLESIDE ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1605 N BROOM ST
WILMINGTON, DE
ZIP 19806
Phone: (302) 984-0950
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INGLESIDE HOMES, INC is an assisted living facility in Wilmington, DE. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. INGLESIDE HOMES, INC NPI is 1164563797. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ingleside Assisted Living.

The provider's business location address is:

1605 N BROOM ST
WILMINGTON, DE
ZIP 19806-009
Phone: (302) 984-0950
Fax: (302) 984-0955

The provider's authorized official is Susan W Jonas .
The authorized official title is Controller and has the following contact phone number (302) 575-0283.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/22/2020.


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
1310400000XAssisted Living Facility2031DELAWAREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000041286MEDICAIDDELAWARE

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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