NPIMap

Organization Active NPI

Masonic Home of Delaware, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Wilmington, DE
National Provider Identifier
1184854515
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
1093 Issued in DE
Legal business name
MASONIC HOME OF DELAWARE, INC.
Doing business as
Highfield Masonic Home of Delaware
Practice address
4800 Lancaster Pike
Wilmington, DE 19807-2559
Phone
(302) 994-4434
Fax
(302) 998-2722
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Mr. Reginald Goring, NHA
Title
Executive Director/Administrator
Phone
(302) 994-4434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 1093 DE Primary

Addresses

Primary practice location

4800 Lancaster Pike
Wilmington, DE 19807-2559

Mailing address

4800 Lancaster Pike
Wilmington, DE 19807-2559
Phone (302) 994-4434

Other names 1

  • Highfield Masonic Home of Delaware Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1184854515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072559",
            "telephone_number": "302-994-4434",
            "fax_number": "302-998-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072559",
            "telephone_number": "302-994-4434",
            "fax_number": "302-998-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONIC HOME OF DELAWARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "GORING",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "302-994-4434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "DE",
            "license": "1093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highfield Masonic Home of Delaware",
            "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 Jul 20, 2009; 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.