Organization Active NPI

Harrison House of Georgetown,Inc

Doing business as Harrison Senior Living of Georgetown

  • Skilled Nursing Facility
  • Georgetown, DE
National Provider Identifier
1003800384
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1068 Issued in DE
Legal business name
HARRISON HOUSE OF GEORGETOWN,INC
Doing business as
Harrison Senior Living of Georgetown
Practice address
110 W North St
Georgetown, DE 19947-2137
Phone
(302) 856-4574
Fax
(302) 856-3021
NPI assigned
Sep 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Christopher Richetti
Title
Chief Financial Officer
Phone
(610) 383-4225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1068 DE Primary

Addresses

Primary practice location

110 W North St
Georgetown, DE 19947-2137

Mailing address

300 Strode Ave
Coatesville, PA 19320-2874
Phone (610) 383-4225

Other identifiers 2

IdentifierTypeStateIssuer
0000166412MedicaidDE
0000135911MedicaidDE

Other names 1

  • HARRISON SENIOR LIVING OF GEORGETOWN Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1003800384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STRODE AVE",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202874",
            "telephone_number": "610-383-4225",
            "fax_number": "610-383-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W NORTH ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472137",
            "telephone_number": "302-856-4574",
            "fax_number": "302-856-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON HOUSE OF GEORGETOWN,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "RICHETTI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-383-4225"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000166412",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000135911",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRISON SENIOR LIVING OF GEORGETOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.