Eden Hill Expresscare, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

C10009686 Issued in DE

Legal business name

EDEN HILL EXPRESSCARE, LLC

Doing business as

ExpressCare of Bear, LLC

Practice address

1011 E Songsmith Drive
Bear, DE 19701-1194

Phone

(302) 918-7501

Fax

(308) 918-7331

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Maurice Reid, MD

Title

Ceo

Phone

(410) 420-6970

Specialties & licenses 1

Addresses

Other names 1

• ExpressCare of Bear, LLC Doing business as

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588377600000",
    "number": "1962828319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144742",
            "telephone_number": "410-420-6970",
            "fax_number": "410-420-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E SONGSMITH DRIVE",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011194",
            "telephone_number": "302-918-7501",
            "fax_number": "308-918-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HILL EXPRESSCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-420-6970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "DE",
            "license": "C10009686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExpressCare of Bear, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ExpressCare of Bear, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Bear, DE
• Providers in Bear, DE by specialty
• Urgent Care Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; 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.