Healthcare Provider Details

I. General information

NPI: 1457799561
Provider Name (Legal Business Name): AMERICARE HOME SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 W LOOCKERMAN ST SUITE 103
DOVER DE
19904-7352
US

IV. Provider business mailing address

32 W LOOCKERMAN ST SUITE 103
DOVER DE
19904-7352
US

V. Phone/Fax

Practice location:
  • Phone: 302-747-7424
  • Fax: 302-747-7043
Mailing address:
  • Phone: 302-747-7424
  • Fax: 302-747-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberPASA-032
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberPASA-032
License Number StateDE

VIII. Authorized Official

Name: SUEDUKA GIBBS
Title or Position: DIRECTOR
Credential:
Phone: 302-747-7424