Christiana Care Health Services Inc

Organization Active NPI Nurse Practitioner · Newark, DE

NPI 1295021145 · NPPES record last updated Jun 20, 2011

Key facts

NPI
1295021145
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
CHRISTIANA CARE HEALTH SERVICES INC
Practice address
190 Salem Church Rd
Christiana High School
Newark, DE 19713-2938
Phone
(302) 454-5421
NPI assigned
Jun 20, 2011
Organization subpart
Yes
Parent organization (as reported)
CHRISTIANA CARE HEALTH SERVICES INC

Authorized official

Name
Thomas L Corrigan
Title
Cfo
Phone
(302) 623-7203

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Christiana Care Ambulance (104 organizations share this tax ID)
Part of
Christiana Care Ambulance

Locations

200 Hygeia Dr
Ste 2502
Newark, DE 19713
Phone (302) 623-7362

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
104100000X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X
School Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041S0200X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X Yes

Addresses

Primary practice location

190 Salem Church Rd
Christiana High School
Newark, DE 19713-2938

Mailing address

200 Hygeia Dr
Suite 2502
Newark, DE 19713-2049
Phone (302) 623-7362

Other names

  • CCHS Wellness Ctr Chrisitana High School Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2011.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1295021145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "address_2": "SUITE 2502",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SALEM CHURCH RD",
            "address_2": "CHRISTIANA HIGH SCHOOL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132938",
            "telephone_number": "302-454-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA CARE HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA CARE HEALTH SERVICES INC",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "302-623-7203"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCHS Wellness Ctr Chrisitana High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

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Sources for this page

Verify at the official NPI Registry.