Active NPI
Ridgaway Philips of de, Inc
- Home Health Agency
- New Castle, DE
National Provider Identifier
1811064959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2003109630
- Legal business name
- RIDGAWAY PHILIPS OF DE, INC
- Practice address
- 908 Churchmans Road Ext
Suite B
New Castle, DE 19720-3109 - Phone
- (302) 323-1436
- Fax
- (302) 323-1481
- NPI assigned
- Nov 30, 2006
- 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
- Ms. Jacqueline S Moore
- Title
- President
- Phone
- (215) 643-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2003109630 | DE | Primary |
Addresses
Primary practice location
908 Churchmans Road Ext
Suite B
New Castle, DE 19720-3109
Mailing address
908 Churchmans Road Ext
Suite B
New Castle, DE 19720-3109
Phone (302) 323-1436
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001987000 | Other | PA | IBC |
| 0001987000 | Other | PA | AMERIHEALTH HMO |
| 157A46 | Other | DE | BC BS OF DE |
| 201484 | Other | KY | COVENTRY HEALTH CARE |
| 0001990000 | Other | PA | IBC |
| 1000024008 | Medicaid | DE | |
| 1526 | Other | CT | GENTIVA |
| 4492440 | Other | TX | AETNA |
| 1000033612 | Other | AZ | DE PHYSICIANS CARE, INC |
| 3333942 | Other | TX | AETNA LIFE INS, CO |
| 5701000157A460 | Other | DE | INDEPENDENT LICENSE BC BS |
| 0001989000 | Other | PA | KEYSTONE HEALTH PLAN |
| 0001990000 | Other | PA | KEYSTONE HEALTH PLAN |
| 0001987000 | Other | PA | KEYSTONE HEALTH PLAN |
| 0001989000 | Other | PA | IBC |
| 0001989000 | Other | PA | AMERIHEALTH HMO |
| 0001990000 | Other | PA | AMERIHEALTH HMO |
National Provider Directory
National Provider DirectoryLocations
908 Churchmans Road Ext
Ste B
New Castle, DE 19720
Phone (302) 323-1436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811064959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 CHURCHMANS ROAD EXT",
"address_2": "SUITE B",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203109",
"telephone_number": "302-323-1436",
"fax_number": "302-323-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 CHURCHMANS ROAD EXT",
"address_2": "SUITE B",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203109",
"telephone_number": "302-323-1436",
"fax_number": "302-323-1481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGAWAY PHILIPS OF DE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-643-1200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DE",
"license": "2003109630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0001987000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0001987000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF DE",
"identifier": "157A46",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE",
"identifier": "201484",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0001990000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000024008",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENTIVA",
"identifier": "1526",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4492440",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DE PHYSICIANS CARE, INC",
"identifier": "1000033612",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE INS, CO",
"identifier": "3333942",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT LICENSE BC BS",
"identifier": "5701000157A460",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "0001989000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "0001990000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "0001987000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0001989000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0001989000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0001990000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, 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.