Ams of Delaware, LLC

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

DE10023M Issued in DE

Legal business name

AMS OF DELAWARE, LLC

Practice address

20576 Coastal Hwy
Rehoboth Beach, DE 19971-8062

Phone

(302) 227-1320

Fax

(302) 227-1327

NPI assigned

Aug 31, 2011

Last updated

Sep 24, 2021By 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

George Michael Errico

Title

President

Phone

(727) 301-3070

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

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.

• Fabricio J Alarcon, M.D.

  • Internal Medicine Physician
  • Georgetown, DE
  • NPI 1134184278
  NPD
• Deyadira Carrillo

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1104402577
  NPD
• Juan Davila

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1477270395
  NPD
• Shivonne Davis

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1518634641
  NPD
• Megan Letitia Durham

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1578137774
  NPD
• Miriam J Lopez

  • Counselor
  • Rehoboth Beach, DE
  • NPI 1689248817
  NPD
• Larraine Weiner Przemelewski

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1093389249
  NPD
• Samantha Trapp

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1700471323
  NPD
• Jamie Lynn Basara

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1013625524
  NPD (past)
• Emily Renae Czukiewski, LPN

  • Licensed Practical Nurse
  • Rehoboth Beach, DE
  • NPI 1447061858
  NPD (past)
• Dana J Duquette, MS ED., CAADC

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1154149987
  NPD (past)
• Melissa Ann Githinji

  • Addiction (Substance Use Disorder) Counselor
  • Rehoboth Beach, DE
  • NPI 1578288593
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1659652980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20576 COASTAL HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199718062",
            "telephone_number": "302-227-1320",
            "fax_number": "302-227-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20576 COASTAL HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199718062",
            "telephone_number": "302-227-1320",
            "fax_number": "302-227-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS OF DELAWARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "ERRICO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-301-3070"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "DE",
            "license": "DE10023M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250537708",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UNknown",
            "affiliation": "N",
            "endpointDescription": "Unknown",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Uknown",
            "address_1": "20576 Coastal Hwy",
            "city": "Rehoboth Beach",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199718062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aegis Assists
• AIDS Delaware, Inc.
• Noor Fayez Al-Rashid
• Russell Patrick Allard, MA
• Colleen Marie Altares, APRN
• Timothy Peter Antonacci
• Amy Lynn Antos, PHARMD
• Nouman Asif, M.D.
• Ati Holdings, LLC (ATI Physical Therapy)
• Atlantic Wellness Group, LLC

• Substance Use Disorder Rehabilitation Hospital Unit in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.