NPIMap

Organization Active NPI

State of Delaware

Doing business as Providence Creek Academy Charter School

  • Local Education Agency (LEA)
  • Clayton, DE
National Provider Identifier
1881738599
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
STATE OF DELAWARE
Doing business as
Providence Creek Academy Charter School
Practice address
273 W Duck Creek Rd
Clayton, DE 19938-7719
Phone
(302) 653-6276
Fax
(302) 653-7850
NPI assigned
Feb 16, 2007
Last updated
Dec 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Charles E Taylor
Title
Managing Director
Phone
(302) 653-6276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

273 W Duck Creek Rd
Clayton, DE 19938-7719

Mailing address

273 W Duck Creek Rd
Clayton, DE 19938-7719
Phone (302) 653-6276

Other names 1

  • Providence Creek Academy Charter School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychiatry Delaware Sta131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

273 W Duck Creek Rd
Clayton, DE 19938
Phone (302) 653-6276

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1881738599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 W DUCK CREEK RD",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199387719",
            "telephone_number": "302-653-6276",
            "fax_number": "302-653-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 W DUCK CREEK RD",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199387719",
            "telephone_number": "302-653-6276",
            "fax_number": "302-653-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "302-653-6276"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Creek Academy Charter School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.