Active NPI
Limestone Medical Center, LLC
- Ambulatory Surgical Clinic/Center
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- FSSC001
- Legal business name
- LIMESTONE MEDICAL CENTER, LLC
- Practice address
- 1941 Limestone Rd Ste 113
Wilmington, DE 19808-5413 - Phone
- (302) 992-9831
- Fax
- (302) 992-0563
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Jarboe
- Title
- Chief Administrative Officer
- Phone
- (302) 992-0824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | FSSC001 | DE | Primary |
Addresses
Primary practice location
1941 Limestone Rd Ste 113
Wilmington, DE 19808-5413
Mailing address
PO Box 5030
Wilmington, DE 19808-0030
Phone (302) 992-0824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000549128 | Medicaid | DE |
Other names 1
- Limestone Ambulatory Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090929000301 | DE | Part B Supplier - Ambulatory Surgical Center | 1951326339 | Practice locations: Wilmington, DE |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Limestone Medical Center Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D0916523 | Limestone Medical Center, LLC | Certificate of waiver | Jun 24, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Psychiatric Hospital Unit
- Mount Holly, NJ
- NPI 1174529846
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Wilmington, DE
- NPI 1538270053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726099200000",
"number": "1720182835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5030",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198080030",
"telephone_number": "302-992-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 LIMESTONE RD STE 113",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085413",
"telephone_number": "302-992-9831",
"fax_number": "302-992-0563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIMESTONE MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A",
"authorized_official_last_name": "JARBOE",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "302-992-0824"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "DE",
"license": "FSSC001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000549128",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Limestone Ambulatory Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Limestone Ambulatory Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 12, 2024; 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.