NPIMap

Organization Active NPI

Georgetown Medical Elder Care LLC

  • Skilled Nursing Facility
  • Georgetown, DE
National Provider Identifier
1235512955
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
C1-0005142 Issued in DE
Legal business name
GEORGETOWN MEDICAL ELDER CARE LLC
Practice address
110 W North St
Georgetown, DE 19947-2137
Phone
(302) 856-4574
Fax
(302) 856-3021
NPI assigned
Jun 30, 2015
Last updated
Aug 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Beshara Helou, M.D.NPI 1407811490
Title
Provider
Phone
(302) 856-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X C1-0005142 DE Primary

Addresses

Primary practice location

110 W North St
Georgetown, DE 19947-2137

Mailing address

20930 Dupont Blvd
Suite #101
Georgetown, DE 19947-1725
Phone (302) 856-3737

Other identifiers 1

IdentifierTypeStateIssuer
G3083MedicaidDE

National Provider Directory

National Provider Directory

Locations

110 W North St
Georgetown, DE 19947
Phone (302) 404-0701

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1235512955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD",
            "address_2": "SUITE #101",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471725",
            "telephone_number": "302-856-3737",
            "fax_number": "302-856-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W NORTH ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472137",
            "telephone_number": "302-856-4574",
            "fax_number": "302-856-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN MEDICAL ELDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "HELOU",
        "authorized_official_first_name": "BESHARA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "302-856-3737",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "C1-0005142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G3083",
            "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 Aug 6, 2015; 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.