Excelcare at Wilmington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EXCELCARE AT WILMINGTON LLC

Practice address

2801 W 6TH St
Wilmington, DE 19805-1828

Phone

(302) 655-6135

NPI assigned

Sep 26, 2024

Last updated

Sep 30, 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

Mr. Josh Raider

Title

Controller

Phone

(732) 380-5812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689492928. Details of each certification follow.

• CCN 085002001 Skilled nursing facility · Details

Skilled nursing facility certification: CCN 085002001

Legal name

EXCELCARE AT WILMINGTON LLC

Organization structure

LLCProprietary

Enrollment address

2801 W 6TH St
Wilmington, DE 19805-1828

Nursing home name

EXCELCARE AT WILMINGTON LLC

Affiliated entity

EXCELCARE

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

CLIA laboratory certificates

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ying Zhu, MD

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1801858840

  Adp of the SNF

  CMS ownership

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Excelcare at Lewes LLC

  • Skilled Nursing Facility
  • Lewes, DE
  • NPI 1891513131

  Indigo de 3 LLC, JM and Mazel LLC, Mazel Family Trust

  CMS ownership
• Eastern Pines Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Atlantic City, NJ
  • NPI 1649939638

  JM and Mazel LLC

  CMS ownership
• Egg Harbor Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Egg Harbor Township, NJ
  • NPI 1457010449

  JM and Mazel LLC

  CMS ownership
• Holmdel Garden Group LLC

  dba Arnold Walter Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Hazlet, NJ
  • NPI 1972194702

  JM and Mazel LLC

  CMS ownership
• Warren MP Opco LLC

  • Skilled Nursing Facility
  • Warren, MI
  • NPI 1669349767

  JM and Mazel LLC

  CMS ownership

Practitioners 1

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.

• Ying Zhu, MD

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1801858840
  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1689492928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CARMEL CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012209",
            "telephone_number": "732-380-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W 6TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051828",
            "telephone_number": "302-655-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELCARE AT WILMINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "RAIDER",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-380-5812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Skilled Nursing Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.