Active NPI
Premier Health Care Inc
Doing business as Newark Manor Nursing Home
- Nursing Facility/Intermediate Care Facility
- Newark, DE
National Provider Identifier
1760513683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 1104
- Legal business name
- PREMIER HEALTH CARE INC
- Doing business as
- Newark Manor Nursing Home
- Practice address
- 254 W Main St
Newark, DE 19711-3235 - Phone
- (302) 731-5576
- NPI assigned
- Mar 9, 2007
- Last updated
- Aug 29, 2019
- 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
- Mr. David Boyer
- Title
- Administrator
- Phone
- (302) 731-5576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 1104 | DE | Primary |
Addresses
Primary practice location
254 W Main St
Newark, DE 19711-3235
Mailing address
254 W Main St
Newark, DE 19711-3235
Phone (302) 731-5576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE00187 | Medicaid | DE |
Other names 1
- Newark Manor Nursing Home
National Provider Directory
National Provider Directory- Tax ID family
- Newark Manor Nursing Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Newark, DE
- NPI 1780825034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567036800000",
"number": "1760513683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 W MAIN ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197113235",
"telephone_number": "302-731-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 W MAIN ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197113235",
"telephone_number": "302-731-5576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2019-08-29",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "302-731-5576",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "DE",
"license": "1104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE00187",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Newark Manor Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, DE
- Margaret Pratt
- Precious Hope Corporation (Precious Hope)
- Precious Sapphires Healthcare Inc
- Precision Hair & Wig Boutique (None)
- Premier Dermatology (Panzer Dermatology)
- Premier Human Services LLC
- Premier Medical Associates
- Premier Medical Associates, LLC
- Premier Pediatrics, LLC
- Premiere Physicians P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.