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STATE OF DELAWARE NPI 1356482970


NPI Information

NPI: 1356482970
Provider Name: STATE OF DELAWARE

Doing Business As: DELAWARE PSYCHIATRIC CENTER

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 08D0721982

Address:
1901 N DUPONT HWY
NEW CASTLE, DE
ZIP 19720
Phone: (302) 255-2700
Get Directions

STATE OF DELAWARE is an intermediate care facility mental illness in New Castle, DE. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. STATE OF DELAWARE NPI is 1356482970. The provider is registered as an organization entity type.
The provider Is Doing Business As Delaware Psychiatric Center.

The provider's business location address is:

1901 N DUPONT HWY
NEW CASTLE, DE
ZIP 19720-160
Phone: (302) 255-2700

The provider's authorized official is Jena Renee Carter .
The authorized official title is Administrator Fds and has the following contact phone number (302) 255-2743.

The CLIA number assigned to this NPI record is 08D0721982 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 12/7/2023.


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
1283Q00000XPsychiatric HospitalHSPTL-009DELAWARENo
2310500000XIntermediate Care Facility, Mental IllnessNo
3310500000XIntermediate Care Facility, Mental IllnessHSPTL-009DELAWAREYes

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
1HSPTL-009OTHERDELAWAREHOSPITAL LICENSE
20000121964MEDICAIDDELAWARE
30000151425MEDICAIDDELAWARE

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

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