Organization Active NPI

Latin American Community Center

  • Voluntary or Charitable Agency
  • Wilmington, DE
National Provider Identifier
1083804454
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
LATIN AMERICAN COMMUNITY CENTER
Practice address
301 N Harrison St
Wilmington, DE 19805-3612
Phone
(302) 295-2160
Fax
(302) 655-7806
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. Stephanie J Traynor
Title
Director of Mental Health Program
Phone
(302) 295-2169

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

301 N Harrison St
Wilmington, DE 19805-3612

Mailing address

403 N Van Buren St
Wilmington, DE 19805-3243
Phone (302) 655-7338

National Provider Directory

National Provider Directory

Locations

403 N Van Buren St
Wilmington, DE 19805

301 N Harrison St
Wilmington, DE 19805
Phone (302) 295-2160

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1083804454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N VAN BUREN ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053243",
            "telephone_number": "302-655-7338",
            "fax_number": "302-655-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053612",
            "telephone_number": "302-295-2160",
            "fax_number": "302-655-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN AMERICAN COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "TRAYNOR",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH PROGRAM",
        "authorized_official_telephone_number": "302-295-2169",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.