NPIMap

Organization Active NPI

Delaware Hospice, Inc

  • Community Based Hospice Care Agency
  • Newark, DE
National Provider Identifier
1790739332
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC001 Issued in DE
Legal business name
DELAWARE HOSPICE, INC
Practice address
630 Churchmans Rd Ste 200
Newark, DE 19702-1944
Phone
(302) 478-5707
Fax
(302) 366-1707
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Susan D Lloyd
Title
Ceo
Phone
(302) 479-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSPC001 DE Primary

Addresses

Primary practice location

630 Churchmans Rd Ste 200
Newark, DE 19702-1944

Mailing address

16 Polly Drummond Center, 2ND Floor
Polly Drummond Shopping Center
Newark, DE 19711
Phone (302) 479-2577

Other identifiers 1

IdentifierTypeStateIssuer
0000038853MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000339 DE Part A Provider - Hospice 8921101395 Practice locations: Newark, DE

Hospice certification: CCN 081500

Legal name
DELAWARE HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 30, 1984
Last certification
Oct 31, 2018
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 1981 in DE
Enrollment address
630 Churchmans Rd
Ste 200
Newark, DE 19702-1944

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Delaware Hospice - North DivisionCCN 081500
Ownership
Non-Profit
Certified
Jan 30, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Delaware Hospice Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raymond Andrews Individual Corporate OfficerBoard of Trustees Treasurer Oct 1, 2015
Thomas Brown Individual Corporate OfficerBoard of Trustees Chairperson Oct 1, 2015
Karen Poore Individual Corporate OfficerBoard of Trustees Secretary Oct 1, 2015
Charles a McDonough Individual W-2 Managing EmployeeAd; Oct 18, 2025
Operational/Managerial ControlPresident/Ceo Oct 18, 2025
Matthew Paul Debo Individual W-2 Managing EmployeeMD; Sep 1, 2025
Lorna V Hearn Individual Corporate Director Feb 26, 2007
Joseph Hofmeister Individual Corporate DirectorDirector of General Accounting Jun 1, 2012
W-2 Managing EmployeeDirector of General Accounting a Jan 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1790739332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POLLY DRUMMOND CENTER, 2ND FLOOR",
            "address_2": "POLLY DRUMMOND SHOPPING CENTER",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-479-2577",
            "fax_number": "302-478-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHURCHMANS RD STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021944",
            "telephone_number": "302-478-5707",
            "fax_number": "302-366-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-479-2577"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "DE",
            "license": "HSPC001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000038853",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.