Active NPI
Harrison House of Georgetown,Inc
Doing business as Harrison Senior Living of Georgetown
- Skilled Nursing Facility
- Georgetown, DE
National Provider Identifier
1003800384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1068
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000166412 | Medicaid | DE | |
| 0000135911 | Medicaid | DE |
Other names 1
- HARRISON SENIOR LIVING OF GEORGETOWN
National Provider Directory
National Provider DirectoryNPI 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.