Halcyon Comprehensive Healthcare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

HALCYON COMPREHENSIVE HEALTHCARE LLC

Practice address

200 Banning St Ste 270
Dover, DE 19904-3489

Phone

(302) 724-6157

Fax

(302) 480-1564

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Ford, FNPNPI 1467810861

Title

Owner

Phone

(302) 724-6157

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ford, FNP-BC,C

  • Family Nurse Practitioner
  • Dover, DE
  • NPI 1467810861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1275378895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SILVER LEAF LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013270",
            "telephone_number": "302-724-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 270",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043489",
            "telephone_number": "302-724-6157",
            "fax_number": "302-480-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON COMPREHENSIVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-724-6157",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renae Guthrie
• Heydi Gutierrez Sligh, MD
• Sabrina Hackendorn, DPT
• Matthew R Hahn, LPCMH
• Arsalan Hakim, M.D
• Haleness Help Counseling and Consulting
• Leonard Hall
• Shakia Hall
• Halpern Eye Associates, P. a.
• Halpern Eye Associates, P. a.

• Nurse Practitioner in Dover, DE
• Providers in Dover, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.