NPIMap

Organization Active NPI

State of Delaware-Stockley

  • Intellectual Disabilities Intermediate Care Facility
  • Georgetown, DE
National Provider Identifier
1962557561
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1047 Issued in DE
Legal business name
STATE OF DELAWARE-STOCKLEY
Practice address
26351 Patriots Way
Georgetown, DE 19947-2575
Phone
(302) 933-3000
Fax
(302) 934-1376
NPI assigned
Jan 24, 2007
Last updated
Feb 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Mrs. Nicole F. Johnson
Title
Social Service Chief Administrator
Phone
(302) 741-9349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1047 DE Primary

Addresses

Primary practice location

26351 Patriots Way
Georgetown, DE 19947-2575

Mailing address

26351 Patriots Way
Georgetown, DE 19947-2575
Phone (302) 933-3000

Other names 1

  • Stockley Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey Hawtof MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

12100 Black Swan Dr
Lewes, DE 19958
Phone (302) 645-1315

Practitioners & affiliated clinicians

Practitioners 110

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 110

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1962557561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26351 PATRIOTS WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472575",
            "telephone_number": "302-933-3000",
            "fax_number": "302-934-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26351 PATRIOTS WAY",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472575",
            "telephone_number": "302-933-3000",
            "fax_number": "302-934-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE-STOCKLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "SOCIAL SERVICE CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "302-741-9349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "DE",
            "license": "1047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockley Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Stockley Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.