Christiana Care Riverside Adult Day Program

Organization Active NPI Adult Day Care Clinic/Center · Wilmington, DE

NPI 1295865012 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295865012
Entity type
Organization (NPI type 2)
Primary specialty
Adult Day Care Clinic/Center 261QA0600X
License
ADC-009 (DE)
Legal business name
CHRISTIANA CARE RIVERSIDE ADULT DAY PROGRAM
Practice address
700 Lea Blvd
Wilmington, DE 19802
Phone
(302) 765-4175
NPI assigned
Mar 7, 2007
Organization subpart
No

Authorized official

Name
Mr. Rich Ellis
Title
Vice President
Phone
(302) 623-7202

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)

Locations

200 Hygeia Dr
Rm 2503
Newark, DE 19713

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC-009 DE Yes

Addresses

Primary practice location

700 Lea Blvd
Wilmington, DE 19802

Mailing address

200 Hygeia Dr
Attn David Trefsger, Room 2503
Newark, DE 19713-2049
Phone (302) 623-7026

Other identifiers

IdentifierTypeStateIssuer
0000519155MedicaidDE

Other providers in Wilmington, DE

All providers in Wilmington, DE · Adult Day Care Clinic/Center in Delaware

Sources for this page

Verify at the official NPI Registry.