Organization Active NPI

Carelink Community Support Services of de, Inc

  • Community/Behavioral Health Agency
  • Wilmington, DE
National Provider Identifier
1124179718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARELINK COMMUNITY SUPPORT SERVICES OF DE, INC
Practice address
100 W 10TH St
Suite 601
Wilmington, DE 19801-6603
Phone
(302) 429-6693
Fax
(302) 429-8031
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kevin McCadden
Title
Controller
Phone
(610) 874-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 W 10TH St
Suite 601
Wilmington, DE 19801-6603

Mailing address

1510 Chester Pike
Suite 600
Eddystone, PA 19022-1375
Phone (610) 874-1119

Other identifiers 1

IdentifierTypeStateIssuer
851802MedicaidDE

National Provider Directory

National Provider Directory

Locations

100 W 10th St
Ste 601
Wilmington, DE 19801
Phone (302) 429-6693

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124179718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 CHESTER PIKE",
            "address_2": "SUITE 600",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221375",
            "telephone_number": "610-874-1119",
            "fax_number": "610-872-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 10TH ST",
            "address_2": "SUITE 601",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198016603",
            "telephone_number": "302-429-6693",
            "fax_number": "302-429-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK COMMUNITY SUPPORT SERVICES OF DE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCADDEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "610-874-1119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851802",
            "state": "DE"
        }
    ],
    "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 Aug 22, 2020; 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.