Delaware Community Home Services LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

DELAWARE COMMUNITY HOME SERVICES LLC

Practice address

870 S Governors Ave
Dover, DE 19904-4108

Phone

(302) 480-0040

Fax

(302) 803-6219

NPI assigned

Oct 31, 2024

Last updated

Oct 31, 2024By 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

Moses Anyaegbu

Title

Director

Phone

(302) 480-0040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1659193472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044108",
            "telephone_number": "302-480-0040",
            "fax_number": "302-803-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044108",
            "telephone_number": "302-480-0040",
            "fax_number": "302-803-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COMMUNITY HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "ANYAEGBU",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-480-0040"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Dover, DE by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.