Active NPI
Eliden Healthcare Agency LLC
- Family Medicine Physician
- Middletown, DE
National Provider Identifier
1275356255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ELIDEN HEALTHCARE AGENCY LLC
- Practice address
- 674 Gordon House Way
Middletown, DE 19709-9975 - Phone
- (215) 910-9003
- NPI assigned
- Nov 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia Dennis, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (215) 910-9003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
674 Gordon House Way
Middletown, DE 19709-9975
Mailing address
674 Gordon House Way
Middletown, DE 19709-9975
Phone (215) 910-9003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN-0026068 | Other | DE | ADVANCED PRACTICE RN CSR |
| LG-0012221 | Other | DE | PROFESSIONAL LICENSE |
| F08210019 | Other | PA | PROFESSIONAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786060800000",
"number": "1275356255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 GORDON HOUSE WAY",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197099975",
"telephone_number": "215-910-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 GORDON HOUSE WAY",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197099975",
"telephone_number": "215-910-9003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIDEN HEALTHCARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-910-9003",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE RN CSR",
"identifier": "AN-0026068",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "LG-0012221",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "F08210019",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.