Beit Shalom/House of Peace

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

2016606010 Issued in DE

Legal business name

BEIT SHALOM/HOUSE OF PEACE

Practice address

130 Plymouth PL
Middletown, DE 19709-8313

Phone

(678) 255-5990

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miles A Raynor

Title

Ceo

Phone

(678) 255-5990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1770030579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PLYMOUTH PL",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PLYMOUTH PL",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098313",
            "telephone_number": "678-255-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEIT SHALOM/HOUSE OF PEACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-255-5990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DE",
            "license": "2016606010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Middletown, DE
• Providers in Middletown, DE by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.