The Mary Campbell Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1092 Issued in DE

Legal business name

THE MARY CAMPBELL CENTER

Practice address

4641 Weldin Rd
Wilmington, DE 19803-4829

Phone

(302) 762-6025

Fax

(302) 762-4206

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jerrold P. Spilecki

Title

Executive Director

Phone

(302) 762-6025

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 08G013

Legal name

MARY CAMPBELL CENTER

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 15, 1989

Last certification

Dec 5, 2024

Beds

73

Ownership / control type

Private (non-profit)

Most recent change of ownership

Jan 18, 2017

Facility address

4641 Weldin Rd
Wilmington, DE 19803

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Charmaine Smith Wright, MD

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1487780896
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144369828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 WELDIN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034829",
            "telephone_number": "302-762-6025",
            "fax_number": "302-762-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 WELDIN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034829",
            "telephone_number": "302-762-6025",
            "fax_number": "302-762-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARY CAMPBELL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPILECKI",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-762-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "DE",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000136312",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Nursing Facility/Intermediate Care Facility in Delaware

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.