Organization Active NPI

Premier Health Care Inc

Doing business as Newark Manor Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Newark, DE
National Provider Identifier
1760513683
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
1104 Issued in DE
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DE00187MedicaidDE

Other names 1

  • Newark Manor Nursing Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Newark Manor Nursing Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.