Isaiah Home 613 Inc

Organization Active NPI Intellectual & Developmental Disabilities Psychologist · Newark, DE

NPI 1104558097 · NPPES record last updated Mar 23, 2026

Key facts

NPI
1104558097
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Legal business name
ISAIAH HOME 613 INC
Practice address
260 Chapman Rd Ste 104B
Newark, DE 19702-5410
Phone
(302) 499-2326
NPI assigned
Jun 29, 2022
Organization subpart
No

Authorized official

Name
Eboni Fountain
Title
Executive Director
Phone
(302) 275-8938

Practitioners 1

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

National Provider Directory

Locations

260 Chapman Rd
Ste 104B
Newark, DE 19702
Phone (302) 499-2326

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TM1800X Yes
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

260 Chapman Rd Ste 104B
Newark, DE 19702-5410

Mailing address

260 Chapman Rd Ste 104B
Newark, DE 19702-5410
Phone (302) 499-2326

Other providers in Newark, DE

All providers in Newark, DE · Intellectual & Developmental Disabilities Psychologist in Delaware

Sources for this page

Verify at the official NPI Registry.