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Christiana Care Health Services Inc

Organization Active NPI Family Medicine Physician · Rehoboth Beach, DE

NPI 1023732203 · NPPES record last updated Sep 30, 2022

Key facts

NPI
1023732203
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CHRISTIANA CARE HEALTH SERVICES INC
Practice address
18742 Coastal Hwy Ste a
Rehoboth Beach, DE 19971-6149
Phone
(302) 703-3980
NPI assigned
Sep 30, 2022
Organization subpart
Yes
Parent organization (as reported)
CHRISTIANA CARE HEALTH SERVICES INC

Authorized official

Name
Robert W McMurray Jr.
Title
Cfo
Phone
(302) 623-7362

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1,480

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

View all 1,480

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Union Hospital of Cecil County
Elkton, MD · CCN 210032		 Hospital 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control (100%)		 Jan 1, 2020
Jan 1, 2020
Christianacare Hospital, West Grove
West Grove, PA · CCN 390431		 Hospital 5% Or Greater Indirect Ownership Interest (51%) Oct 9, 2023
Christianacare Homehealth
Smyrna, DE · CCN 087301		 Home health agency Operational/Managerial Control (100%) Jul 1, 2021
Christianacare-Accentcare Hospice & Palliative Care of Delaware
Newark, DE · CCN 081508		 Hospice 5% Or Greater Direct Ownership Interest (40%) Jun 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20221209000579 DE Part B Supplier - Clinic/Group Practice 9739097569 Receives reassigned benefits from 5 practitioners
Practice locations: Rehoboth Beach, DE

National Provider Directory

Tax ID family
Christiana Care Ambulance (104 organizations share this tax ID)
Part of
Christiana Care Ambulance

Locations

701 N DuPont Blvd
Ste A
Milford, DE 19963
Phone (302) 623-7362

18742 Coastal Hwy
Ste A
Rehoboth Beach, DE 19971
Phone (302) 703-3980

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Geriatric Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QG0300X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Geriatric Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0300X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X
Adult Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LA2200X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

18742 Coastal Hwy Ste a
Rehoboth Beach, DE 19971-6149

Mailing address

200 Hygeia Dr Ste 2300
Newark, DE 19713-2049

Other practice location 1

701 N DuPont Blvd Ste A
Milford, DE 19963-1003
Phone (302) 623-7362

Other names

  • CCHS My65 Office Doing business as

Other providers in Rehoboth Beach, DE

All providers in Rehoboth Beach, DE · Family Medicine Physician in Delaware

Sources for this page

Verify at the official NPI Registry.