Augustine Place Manor

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

AUGUSTINE PLACE MANOR

Practice address

48 Augustine PL
Bear, DE 19701-1007

Phone

(267) 357-9124

Fax

(888) 398-5774

NPI assigned

Mar 4, 2024

Last updated

Mar 5, 2024By 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

Mrs. Tanisha Wilson

Title

Director

Phone

(267) 357-9124

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1831956176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCMULLEN AVE UNIT 1022",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 AUGUSTINE PL",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011007",
            "telephone_number": "267-357-9124",
            "fax_number": "888-398-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE PLACE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-357-9124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia A Baile, M.D.
• Nicole L Baldwin

• Lodging Provider in Bear, DE
• Providers in Bear, DE by specialty
• Lodging Provider in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.