Crestline Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CRESTLINE HOME CARE LLC

Practice address

1521 Concord Pike Ste 301
Wilmington, DE 19803-3644

Phone

(302) 696-9299

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ugochukwu Ezeugo

Title

Director

Phone

(302) 696-9299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1982500559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CONCORD PIKE STE 301",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033644",
            "telephone_number": "302-696-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CONCORD PIKE STE 301",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033644",
            "telephone_number": "302-696-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTLINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "EZEUGO",
        "authorized_official_first_name": "UGOCHUKWU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-696-9299"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Wilmington, DE
• Providers in Wilmington, DE by specialty
• In Home Supportive Care Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.