Aquila of Delaware, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AQUILA OF DELAWARE, INC.

Practice address

1539 Bohemia Mill Rd
Middletown, DE 19709-6001

Phone

(302) 378-9213

NPI assigned

Oct 9, 2020

Last updated

Oct 9, 2020By 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

Kelli Disabatino

Title

Chief Executive Officer

Phone

(302) 218-0630

Specialties & licenses 1

Addresses

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.

• Aquila of Delaware, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, DE
  • NPI 1356949283
  NPD tax ID

Locations

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1508464819",
    "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": "1539 BOHEMIA MILL RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197096001",
            "telephone_number": "302-378-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILA OF DELAWARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "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": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Middletown, DE
• Providers in Middletown, DE by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.