Wilmington Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1683 Issued in DE

Legal business name

WILMINGTON ASSISTED LIVING LLC

Doing business as

Sunrise of Wilmington

Practice address

2215 Shipley Rd
Wilmington, DE 19803-2305

Phone

(302) 475-9163

Fax

(302) 475-9164

NPI assigned

Feb 18, 2014

Last updated

Feb 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Kauczka

Title

Executive Director

Phone

(302) 475-9163

Specialties & licenses 1

Addresses

Other names 1

• Sunrise of Wilmington Doing business as

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1326462920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SHIPLEY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032305",
            "telephone_number": "302-475-9163",
            "fax_number": "302-475-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SHIPLEY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032305",
            "telephone_number": "302-475-9163",
            "fax_number": "302-475-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "KAUCZKA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-475-9163"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "DE",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Wilmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Wilmington, DE
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.