Organization Active NPI

Take Care Health Delaware, P.a.

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1003081068
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TAKE CARE HEALTH DELAWARE, P.A.
Practice address
216 Suburban Dr
Newark, DE 19711-3596
Phone
(855) 925-4733
Fax
(217) 709-2345
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Hegg
Title
Secretary
Phone
(855) 925-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

216 Suburban Dr
Newark, DE 19711-3596

Mailing address

1901 E Voorhees St
Ms 640
Danville, IL 61834-4509
Phone (855) 925-4733

Other identifiers 1

IdentifierTypeStateIssuer
1003081068MedicaidDE

National Provider Directory

National Provider Directory

Locations

216 Suburban Dr
Newark, DE 19711
Phone (302) 456-6760

16749 Collections Ct Dr
Chicago, IL 60693

16749 Collections Cnt Dr
Chicago, IL 60693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1003081068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 640",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SUBURBAN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113596",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CARE HEALTH DELAWARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "HEGG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "855-925-4733"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003081068",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.