Active NPI
Addiction Medical Facility, LLC
- Substance Abuse Rehabilitation Facility
- Seaford, DE
National Provider Identifier
1063921047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ADDICTION MEDICAL FACILITY, LLC
- Practice address
- 400 Health Services Dr Ste 401
Seaford, DE 19973-5769 - Phone
- (302) 629-2300
- Fax
- (302) 629-2305
- NPI assigned
- Sep 22, 2017
- 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
- Tammy Lynn Tharp
- Title
- Billing Specialist Manager
- Phone
- (302) 629-2300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | DE | ||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
400 Health Services Dr Ste 401
Seaford, DE 19973-5769
Mailing address
400 Health Services Dr Ste 401
Seaford, DE 19973-5769
Phone (302) 629-2300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004484807 | Other | DE | HIGHMARK OF DELAWARE |
| 250502531 | Medicaid | DE | |
| 004311970 | Other | DE | HIGHMARK OF DELAWARE |
| 004228500 | Other | DE | HIGHMARK OF DELAWARE |
| 240044800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Opioid treatment program
- Medicare-enrolled since Feb 7, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200512002150 | DE | Part B Supplier - Opioid Treatment Program (Otp) | 4981035714 | Practice locations: Seaford, DE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2145350 | Addiction Medical Facility | Certificate of waiver | Mar 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
400 Health Services Dr
Ste 401
Seaford, DE 19973
Phone (302) 236-9772
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Georgetown, DE
- NPI 1134184278
-
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
- NPI 1467898643
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1063921047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HEALTH SERVICES DR STE 401",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199735769",
"telephone_number": "302-629-2300",
"fax_number": "302-629-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HEALTH SERVICES DR STE 401",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199735769",
"telephone_number": "302-629-2300",
"fax_number": "302-629-2305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDICTION MEDICAL FACILITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-22",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "THARP",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BILLING SPECIALIST MANAGER",
"authorized_official_telephone_number": "302-629-2300"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DE",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK OF DELAWARE",
"identifier": "004484807",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250502531",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK OF DELAWARE",
"identifier": "004311970",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK OF DELAWARE",
"identifier": "004228500",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240044800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.