Active NPI
County of Delaware
- Case Management Agency
- Eddystone, PA
National Provider Identifier
1336650613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COUNTY OF DELAWARE
- Practice address
- 206 Eddystone Ave FL 2
Eddystone, PA 19022-1514 - Phone
- (610) 490-1300
- Fax
- (610) 490-1500
- NPI assigned
- Oct 13, 2017
- Last updated
- Oct 13, 2017
- Organization subpart
- Yes
- Parent organization
- COUNTY OF DELAWARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Gamble
- Title
- Cosa Deputy Director
- Phone
- (610) 490-1854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
206 Eddystone Ave FL 2
Eddystone, PA 19022-1514
Mailing address
206 Eddystone Ave FL 2
Eddystone, PA 19022-1514
Phone (610) 490-1300
Other names 1
- County of Delaware Services for the Aging
National Provider Directory
National Provider Directory- Tax ID family
- County of Delaware
- Part of
- County of Delaware
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Lima, PA
- NPI 1730186578
-
- Pharmacist
- Glen Riddle Lima, PA
- NPI 1528042967
-
- Case Management Agency
- Upper Darby, PA
- NPI 1639206162
Locations
206 Eddystone Ave
Fl 2
Eddystone, PA 19022
Phone (610) 490-1300
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Lima, PA
- NPI 1730186578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507852800000",
"number": "1336650613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 EDDYSTONE AVE FL 2",
"city": "EDDYSTONE",
"state": "PA",
"postal_code": "190221514",
"telephone_number": "610-490-1300",
"fax_number": "610-490-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 EDDYSTONE AVE FL 2",
"city": "EDDYSTONE",
"state": "PA",
"postal_code": "190221514",
"telephone_number": "610-490-1300",
"fax_number": "610-490-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF DELAWARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF DELAWARE",
"enumeration_date": "2017-10-13",
"last_updated": "2017-10-13",
"status": "A",
"authorized_official_last_name": "GAMBLE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "COSA DEPUTY DIRECTOR",
"authorized_official_telephone_number": "610-490-1854"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "County of Delaware Services for the Aging",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eddystone, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.