Organization Active NPI

AIDS Delaware, Inc.

  • Case Management Agency
  • Rehoboth Beach, DE
National Provider Identifier
1528111739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
103TH0100N Issued in DE
Legal business name
AIDS DELAWARE, INC.
Practice address
706 Rehoboth Ave
Rehoboth Beach, DE 19971-1667
Phone
(302) 226-5350
Fax
(302) 226-3519
NPI assigned
Jan 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John D. Baker, MPA, CFRE
Title
Executive Director
Phone
(302) 652-6776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 103TH0100N DE Primary

Addresses

Primary practice location

706 Rehoboth Ave
Rehoboth Beach, DE 19971-1667

Mailing address

100 W 10TH St
Suite 315
Wilmington, DE 19801-6603
Phone (302) 652-6776

Other identifiers 1

IdentifierTypeStateIssuer
0001090357MedicaidDE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528111739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 10TH ST",
            "address_2": "SUITE 315",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198016603",
            "telephone_number": "302-652-6776",
            "fax_number": "302-652-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 REHOBOTH AVE",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711667",
            "telephone_number": "302-226-5350",
            "fax_number": "302-226-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS DELAWARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-652-6776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA, CFRE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "DE",
            "license": "103TH0100N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001090357",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.