Healthcare Provider Details

I. General information

NPI: 1194120238
Provider Name (Legal Business Name): VICDANIA HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2014
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 COLLEGE RD STE 101
DOVER DE
19904-6569
US

IV. Provider business mailing address

1006 COLLEGE RD STE 101
DOVER DE
19904-6569
US

V. Phone/Fax

Practice location:
  • Phone: 302-724-5954
  • Fax:
Mailing address:
  • Phone: 302-724-5954
  • Fax: 302-424-9694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHAS-057
License Number StateDE

VIII. Authorized Official

Name: DANNETTE MOORE
Title or Position: VICE PRESIDENT
Credential:
Phone: 302-724-5954