Active NPI
Eden Hill Expresscare, LLC
Doing business as ExpressCare of Smyrna
- Urgent Care Clinic/Center
- Smyrna, DE
National Provider Identifier
1558864777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- EDEN HILL EXPRESSCARE, LLC
- Doing business as
- ExpressCare of Smyrna
- Practice address
- 300 Jimmy Dr Ste 100
Smyrna, DE 19977-5804 - Phone
- (302) 696-2129
- Fax
- (302) 696-2133
- NPI assigned
- Mar 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maurice Reid, MD
- Title
- Ceo
- Phone
- (410) 420-6970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
300 Jimmy Dr Ste 100
Smyrna, DE 19977-5804
Mailing address
1505 E Churchville Rd
Bel Air, MD 21014-4742
Phone (410) 420-6970
Other names 1
- ExpressCare of Smyrna
National Provider Directory
National Provider Directory- Tax ID family
- Eden Hill Expresscare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba ExpressCare of Middletown
- Urgent Care Clinic/Center
- Middletown, DE
- NPI 1356844492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588377600000",
"number": "1558864777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 E CHURCHVILLE RD",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144742",
"telephone_number": "410-420-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 JIMMY DR STE 100",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199775804",
"telephone_number": "302-696-2129",
"fax_number": "302-696-2133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN HILL EXPRESSCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-14",
"last_updated": "2020-05-02",
"certification_date": "2020-05-02",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "MAURICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-420-6970",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ExpressCare of Smyrna",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.