NPIMap

Organization Active NPI

Westside Family Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wilmington, DE
National Provider Identifier
1952303695
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WESTSIDE FAMILY HEALTHCARE, INC.
Practice address
908 E 16TH St Ste B
Wilmington, DE 19802-5145
Phone
(302) 225-1800
Fax
(302) 225-4526
NPI assigned
Aug 12, 2005
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTSIDE FAMILY HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Christopher Fraser, FACHE
Title
Chief Executive Officer
Phone
(302) 584-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

908 E 16TH St Ste B
Wilmington, DE 19802-5145

Mailing address

PO Box 151
New Castle, DE 19720-0151
Phone (302) 655-5822

Other identifiers 1

IdentifierTypeStateIssuer
0000356566MedicaidDE

Other names 1

  • Northeast Community Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030506000033 DE Part A Provider - Federally Qualified Health Center (FQHC) 6800706599 Practice locations: Wilmington, DE
O20040716000419 DE Part B Supplier - Clinic/Group Practice 6800706599 Receives reassigned benefits from 94 practitioners
2 other NPIs on this enrollment
Practice locations: Wilmington, DE; Newark, DE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952303695. Details of each certification follow.

Federally qualified health center certification: CCN 081803

Legal name
WESTSIDE FAMILY HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 17, 2004
Last certification
Feb 17, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 8, 1983 in DE
Enrollment address
908B East 16TH Street
Wilmington, DE 19802-5145
Related CCNs
081802

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Westside Health Inc7 organizations share this tax ID, including this one
Part of
Westside Health Inc

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Stephens Individual Corporate OfficerCmo Aug 31, 2009
W-2 Managing EmployeeCmo Aug 31, 2009
Maggie Norris-Bent Individual Corporate OfficerDeputy Chief of External Affairs/Co Apr 12, 2011
W-2 Managing EmployeeDeputy Chief of External Affairs/Co Apr 12, 2011
Lolita a Lopez Individual Corporate OfficerCeo Aug 1, 1990
W-2 Managing EmployeeCeo Aug 1, 1990
Janice Tildon-Burton Individual Corporate DirectorBoard Chair - Quality Improvement Jan 1, 2021
Christopher L Fraser Individual Corporate OfficerCeo May 10, 1999
W-2 Managing EmployeeCeo May 10, 1999
OtherChief Executive Officer Jul 1, 2023
Thomas a Sweeney Individual Corporate DirectorChair - Board of Directors Jan 1, 2021
Sarah Stroh Individual Corporate OfficerCfo Apr 25, 2007
W-2 Managing EmployeeCfo Apr 25, 2007

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 96

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.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1952303695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197200151",
            "telephone_number": "302-655-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E 16TH ST STE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198025145",
            "telephone_number": "302-225-1800",
            "fax_number": "302-225-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE FAMILY HEALTHCARE, INC.",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "302-584-6290",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000356566",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Community Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northeast Community Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.