NPIMap

Organization Active NPI

Christiana Care Health Services Inc

Doing business as CCHS Wellness Ctr - Conrad High School

  • School Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1104365790
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
Legal business name
CHRISTIANA CARE HEALTH SERVICES INC
Doing business as
CCHS Wellness Ctr - Conrad High School
Practice address
201 Jackson Ave
Conrad Schools of Science
Wilmington, DE 19804-2125
Phone
(302) 992-5545
NPI assigned
Feb 16, 2017
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIANA CARE HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Robert W McMurray Jr.
Title
Cfo
Phone
(302) 428-2522

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X NU Primary
School Counselor 101YS0200X NU
School Social Worker 1041S0200X NU
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

201 Jackson Ave
Conrad Schools of Science
Wilmington, DE 19804-2125

Mailing address

200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049

Other names 1

  • CCHS Wellness Ctr - Conrad High School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
WMC Family Practice104 organizations share this tax ID, including this one
Part of
WMC Family Practice

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1104365790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 JACKSON AVE",
            "address_2": "CONRAD SCHOOLS OF SCIENCE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198042125",
            "telephone_number": "302-992-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA CARE HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA CARE HEALTH SERVICES INC",
        "enumeration_date": "2017-02-16",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "MCMURRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-428-2522",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCHS Wellness Ctr - Conrad High School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCHS Wellness Ctr - Conrad High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 13, 2021; 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.