Organization Active NPI

Peninsula Home Health Care Inc.

  • Durable Medical Equipment & Medical Supplies
  • Seaford, DE
National Provider Identifier
1982762092
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1995113780 Issued in DE
Legal business name
PENINSULA HOME HEALTH CARE INC.
Practice address
514 W Stein Hwy
Seaford, DE 19973-1202
Phone
(302) 629-5672
Fax
(302) 628-1587
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mrs. Mary Christine Obier
Title
Owner
Phone
(302) 629-5672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1995113780 DE Primary

Addresses

Primary practice location

514 W Stein Hwy
Seaford, DE 19973-1202

Mailing address

514 W Stein Hwy
Seaford, DE 19973-1202
Phone (302) 629-5672

Other identifiers 1

IdentifierTypeStateIssuer
0000650916MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027596 DE DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 3476673716 Practice locations: Seaford, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Peninsula Home Health Care Inc.514 W Stein Hwy, Seaford, DE 19973-1202(302) 629-5672 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Breast Prosthes… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

514 W Stein Hwy
Seaford, DE 19973
Phone (302) 629-5672

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1982762092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W STEIN HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731202",
            "telephone_number": "302-629-5672",
            "fax_number": "302-628-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W STEIN HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731202",
            "telephone_number": "302-629-5672",
            "fax_number": "302-628-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "OBIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-629-5672",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "1995113780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000650916",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.