Organization Active NPI

Sea Care LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Georgetown, DE
National Provider Identifier
1164008017
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
SEA CARE LLC
Practice address
25184 Leroy Dr
Georgetown, DE 19947-2783
Phone
(302) 381-5224
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Nancy Beil
Title
Ceo
Phone
(302) 381-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

25184 Leroy Dr
Georgetown, DE 19947-2783

Mailing address

25184 Leroy Dr
Georgetown, DE 19947-2783

Other identifiers 1

IdentifierTypeStateIssuer
000000677MedicaidDE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2206748Sea Care, LLC25184 Leroy Drive, Georgetown, DE 19947Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1164008017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25184 LEROY DR",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25184 LEROY DR",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472783",
            "telephone_number": "302-381-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BEIL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-381-5224"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000677",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.