NPIMap

Organization Active NPI

Courtland Manor Inc.

  • Skilled Nursing Facility
  • Dover, DE
National Provider Identifier
1083796734
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1037 Issued in DE
Legal business name
COURTLAND MANOR INC.
Practice address
889 S Little Creek Rd
Dover, DE 19901-4721
Phone
(302) 674-0566
Fax
(302) 674-4657
NPI assigned
Oct 20, 2006
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Mr. Richard Schurman
Title
Board Secretary
Phone
(302) 674-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1037 DE Primary

Addresses

Primary practice location

889 S Little Creek Rd
Dover, DE 19901-4721

Mailing address

889 S Little Creek Rd
Dover, DE 19901-4721
Phone (302) 674-0566

Other identifiers 3

IdentifierTypeStateIssuer
0000240511MedicaidDE
7101283OtherDEEVERCARE
0000037312MedicaidDE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1083796734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 S LITTLE CREEK RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014721",
            "telephone_number": "302-674-0566",
            "fax_number": "302-674-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 S LITTLE CREEK RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014721",
            "telephone_number": "302-674-0566",
            "fax_number": "302-674-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTLAND MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "SCHURMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "BOARD SECRETARY",
        "authorized_official_telephone_number": "302-674-0566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000240511",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7101283",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000037312",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.