Qualiticare Community Medical Services LLC

Organization Active NPI Family Medicine Physician · Felton, DE

NPI 1699437640 · NPPES record last updated Jul 12, 2024

Key facts

NPI
1699437640
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
QUALITICARE COMMUNITY MEDICAL SERVICES LLC
Practice address
7586 S Dupont Hwy Ste 4
Felton, DE 19943-5786
Phone
(302) 469-5333
NPI assigned
Oct 7, 2021
Organization subpart
No

Authorized official

Name
Javed Counseling Service O Akhtar NPI 1578712592
Title
Owner
Phone
(302) 469-5333

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2255197Qualiticare Community Medical Services LLC
7586 South Dupont Hwy Suite 4, Felton, DE 19943
Certificate of waiverMar 10, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230131002590 DE Part B Supplier - Clinic/Group Practice 5991191199 Receives reassigned benefits from 2 practitioners
Practice locations: Felton, DE

National Provider Directory

Locations

7586 S DuPont Hwy
Ste 4
Felton, DE 19943
Phone (302) 469-5333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25867/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

7586 S Dupont Hwy Ste 4
Felton, DE 19943-5786

Mailing address

7586 S Dupont Hwy Ste 4
Felton, DE 19943-5786
Phone (302) 469-5333

Other names

  • New Hope Medical Center Doing business as

Other providers in Felton, DE

All providers in Felton, DE · Family Medicine Physician in Delaware

Sources for this page

Verify at the official NPI Registry.