Organization Active NPI

Aquila of Delaware, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wilmington, DE
National Provider Identifier
1861541609
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1991830288 Issued in DE
Legal business name
AQUILA OF DELAWARE, INC.
Practice address
1812 Newport Gap Pike
Wilmington, DE 19808-6179
Phone
(302) 999-1106
Fax
(302) 999-1753
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Joan Chatterton, RN, LCSW
Title
Executive Director
Phone
(302) 376-8610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1991830288 DE Primary

Addresses

Primary practice location

1812 Newport Gap Pike
Wilmington, DE 19808-6179

Mailing address

1812 Newport Gap Pike
Wilmington, DE 19808-6179
Phone (302) 999-1106

Other identifiers 5

IdentifierTypeStateIssuer
0602528OtherDEAETNA
37761OtherDECIGNA
A066181OtherDEVALUE OPTIONS
159139OtherDEBLUE CROSS BLUE SHIELD DE
174428OtherDECOMPSYCH

National Provider Directory

National Provider Directory
Tax ID family
Aquila of Delaware 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.

Locations

1812 Newport Gap Pike
Wilmington, DE 19808
Phone (302) 500-5997

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1861541609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 NEWPORT GAP PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086179",
            "telephone_number": "302-999-1106",
            "fax_number": "302-999-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 NEWPORT GAP PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086179",
            "telephone_number": "302-999-1106",
            "fax_number": "302-999-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILA OF DELAWARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "CHATTERTON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-376-8610",
        "authorized_official_credential": "RN, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "DE",
            "license": "1991830288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0602528",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "37761",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A066181",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD DE",
            "identifier": "159139",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "174428",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.