Organization Active NPI

Countrywide Home Care Inc

  • In Home Supportive Care Agency
  • Wilmington, DE
National Provider Identifier
1609457688
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COUNTRYWIDE HOME CARE INC
Practice address
2 Centerville Rd
Wilmington, DE 19808-4708
Phone
(302) 608-7317
Fax
(302) 268-6336
NPI assigned
Apr 20, 2021
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Ms. Doretha Williams
Title
Chief Operating Officer
Phone
(302) 608-7317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2 Centerville Rd
Wilmington, DE 19808-4708

Mailing address

2 Centerville Rd
Wilmington, DE 19808-4708
Phone (302) 608-7317

Other names 1

  • Countrywide Home Care Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Countrywide Home Care 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.

Locations

2 Centerville Rd
Wilmington, DE 19808
Phone (302) 608-7317

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1609457688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTERVILLE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084708",
            "telephone_number": "302-608-7317",
            "fax_number": "302-268-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTERVILLE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084708",
            "telephone_number": "302-608-7317",
            "fax_number": "302-268-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYWIDE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "302-608-7317",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countrywide Home Care Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.