NPIMap

Organization Active NPI

State of Delaware

  • Nursing Facility/Intermediate Care Facility
  • Milford, DE
National Provider Identifier
1255489548
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
STATE OF DELAWARE
Practice address
100 Delaware Veterans Blvd
Milford, DE 19963-5395
Phone
(302) 424-6000
Fax
(302) 424-6009
NPI assigned
Jan 5, 2007
Last updated
Aug 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Authorized official

Name
John Clifton Cannon
Title
Regulatory Specialist
Phone
(302) 424-8533

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Nursing Facility/Intermediate Care Facility 313M00000X Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

100 Delaware Veterans Blvd
Milford, DE 19963-5395

Mailing address

100 Delaware Veterans Blvd
Milford, DE 19963-5395
Phone (302) 424-6040

Other names 1

  • Delaware Veteran's Home Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070502000055 DE Part A Provider - Skilled Nursing Facility 6507756731 Practice locations: Milford, DE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255489548. Details of each certification follow.

Skilled nursing facility certification: CCN 085051

Legal name
STATE OF DELAWARE
Doing business as
DELAWARE VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 20, 2007
Last certification
Apr 25, 2024
Beds
144
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
100 Delaware Veterans Blvd
Milford, DE 19963-5395
Nursing home name
DELAWARE VETERANS HOME

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Delaware Veterans HomeCCN 085051 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Jun 20, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14463.7 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $118,757

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Fernhook Mental Hygiene131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sandra Groff Individual W-2 Managing EmployeeSr Fiscal Administrator Officer Aug 27, 2012
John C Cannon Individual Corporate Officer Dec 19, 2022
Carol a Erhart Individual Corporate DirectorNursing Home Director Oct 20, 2020
William Peterson Individual Corporate DirectorDivision Director Lnha Mar 8, 2010
W-2 Managing EmployeeDivision Director Lnha Mar 8, 2010
Lisa N Satterly Individual Corporate Officer May 1, 2022

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Delaware Hospital F/T Chronically IllSmyrna, DE, CCN 085035 Skilled nursing facility Adp of the SNF
Indirect Ownership Interest (1%)		 Sep 1, 1983
Sep 1, 1983

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692489600000",
    "number": "1255489548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DELAWARE VETERANS BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635395",
            "telephone_number": "302-424-6040",
            "fax_number": "302-424-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DELAWARE VETERANS BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635395",
            "telephone_number": "302-424-6000",
            "fax_number": "302-424-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "REGULATORY SPECIALIST",
        "authorized_official_telephone_number": "302-424-8533"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Veteran's Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.