NPIMap

Organization Active NPI

State Street Assisted Living

  • Assisted Living Facility
  • Dover, DE
National Provider Identifier
1740342989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1649 Issued in DE
Legal business name
STATE STREET ASSISTED LIVING
Practice address
21 N State St
Dover, DE 19901-3802
Phone
(302) 674-2144
Fax
(302) 674-2048
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jackie Tuxward
Title
Business Office Manager
Phone
(302) 674-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1649 DE Primary

Addresses

Primary practice location

21 N State St
Dover, DE 19901-3802

Mailing address

21 N State St
Dover, DE 19901-3802
Phone (302) 674-2144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740342989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013802",
            "telephone_number": "302-674-2144",
            "fax_number": "302-674-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013802",
            "telephone_number": "302-674-2144",
            "fax_number": "302-674-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE STREET ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUXWARD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "302-674-2144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "DE",
            "license": "1649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.