MEDICARE: INTREPID OF DELMARVA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427030006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTREPID OF DELMARVA, INC.

Provider Business Mailing Address
First Line	:	14841 DALLAS PKWY STE 625
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-7641
Country	:	US
Telephone Number	:	214-445-3750
Fax Number	:	214-445-3902

Provider Business Practice Location Address
First Line	:	165 MARKET ST STE 2
Second Line	:
City	:	ONANCOCK
State	:	VA
Zip	:	23417-4233
Country	:	US
Telephone Number	:	757-787-7202
Fax Number	:	757-787-9307

Authorized Official
Title or Position	:	CCO
Name	:	ROBERT PARKER
Credential	:
Telephone Number	:	214-445-3773

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	05/21/2024

Similar Medicare Providers

1184174864 — INTREPID OF VIRGINIA, INC.
Practice Location Address:

165 MARKET ST STE 2
ONANCOCK, VA
23417-4233

Practice Phone: 757-356-4182
Practice Fax: 757-787-8430

1871113746 — RENAL TREATMENT CENTERS MID ATLANTIC INC
Practice Location Address:

165 MARKET ST , STE 6
ONANCOCK, VA
23417-4233

Practice Phone: 757-505-5027
Practice Fax: 757-505-5147

1265190573 — F.C. OF VIRGINIA, INC.
Practice Location Address:

165 MARKET ST STE 2
ONANCOCK, VA
23417-4233

Practice Phone: 757-787-7202
Practice Fax:

1639178122 — MICHAEL GRILLON MD
Practice Location Address:

20486 MARKET STREET
ONANCOCK, VA
23417

Practice Phone: 757-302-2700
Practice Fax: 757-787-9262

1427044296 — ILENE ANN RICHARDSON LCPC
Practice Location Address:

15262 RUSSELL DR
ONANCOCK, VA
23417-3004

Practice Phone: 410-713-0709
Practice Fax: 410-546-0264

1194712414 — DAVID FITZGERALD JONES MD
Practice Location Address:

20486 MARKET STREET
ONANCOCK, VA
23417-2341

Practice Phone: 757-302-2700
Practice Fax: 757-787-9262

Directions to “INTREPID OF DELMARVA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.