Organization Active NPI

Aquila of Delaware, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, DE
National Provider Identifier
1356949283
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AQUILA OF DELAWARE, INC.
Practice address
1817 Choptank Rd
Middletown, DE 19709-9047
Phone
(302) 376-3045
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Kelli Disabatino
Title
Chief Executive Officer
Phone
(302) 218-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1817 Choptank Rd
Middletown, DE 19709-9047

Mailing address

850 S State St
Dover, DE 19901-4113
Phone (302) 664-7664

National Provider Directory

National Provider Directory
Tax ID family
Aquila of Delaware Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1356949283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014113",
            "telephone_number": "302-664-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 CHOPTANK RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197099047",
            "telephone_number": "302-376-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILA OF DELAWARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "DISABATINO",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "302-218-0630"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.