Amend Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMEND FOUNDATION

Practice address

2800 Lancaster Ave
Wilmington, DE 19805-5200

Phone

(252) 640-4649

Fax

(302) 384-8655

NPI assigned

Mar 22, 2021

Last updated

Apr 23, 2021By 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

Ms. Angie Alicia Demby, CEO

Title

Ceo

Phone

(302) 670-8226

Specialties & licenses 1

Addresses

Other names 1

• AMEND foundation Former legal business name

Locations

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1447836325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LANCASTER AVE STE 6",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055200",
            "telephone_number": "252-640-4649",
            "fax_number": "302-384-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055200",
            "telephone_number": "252-640-4649",
            "fax_number": "302-384-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEND FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "DEMBY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-670-8226",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMEND foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Community/Behavioral Health Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.