Eldercare LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELDERCARE LLC

Practice address

874 Walker Rd Ste B
Dover, DE 19904-2778

Phone

(302) 734-5438

NPI assigned

Jun 2, 2017

Organization subpart

No

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

Authorized official

Name

Sambhab Kumar, MD

Title

Director

Phone

(302) 734-5438

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891223830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 B WALKER ROAD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19904",
            "telephone_number": "302-734-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 WALKER RD STE B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042778",
            "telephone_number": "302-734-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SAMBHAB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-734-5438",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000777801",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.