Active NPI
Lewes Convalescent Center, Inc.
- Skilled Nursing Facility
- Lewes, DE
National Provider Identifier
1043372808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 565478
- Legal business name
- LEWES CONVALESCENT CENTER, INC.
- Practice address
- 440 Market St
Lewes, DE 19958-1308 - Phone
- (302) 645-3030
- Fax
- (302) 645-6120
- NPI assigned
- Dec 15, 2006
- 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
- Sharon B Kesterson
- Title
- Director of Patient Business Servic
- Phone
- (302) 645-3210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 565478 | DE | Primary |
Addresses
Primary practice location
440 Market St
Lewes, DE 19958-1308
Mailing address
440 Market St
Lewes, DE 19958-1308
Phone (302) 645-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000665211 112 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
440 Market St
Lewes, DE 19958
Phone (302) 645-3030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043372808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MARKET ST",
"city": "LEWES",
"state": "DE",
"postal_code": "199581308",
"telephone_number": "302-645-3030",
"fax_number": "302-645-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 MARKET ST",
"city": "LEWES",
"state": "DE",
"postal_code": "199581308",
"telephone_number": "302-645-3030",
"fax_number": "302-645-6120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWES CONVALESCENT CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KESTERSON",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT BUSINESS SERVIC",
"authorized_official_telephone_number": "302-645-3210"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "DE",
"license": "565478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000665211 112",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.