Healthcare Provider Details

I. General information

NPI: 1881264711
Provider Name (Legal Business Name): KENT COUNTY HOMECARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 INDUSTRIAL DR STE 120
MIDDLETOWN DE
19709-2802
US

IV. Provider business mailing address

1050 INDUSTRIAL DR STE 120
MIDDLETOWN DE
19709-2802
US

V. Phone/Fax

Practice location:
  • Phone: 302-751-3324
  • Fax: 302-751-3327
Mailing address:
  • Phone: 302-751-3324
  • Fax: 302-751-3327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: THOMAS SMITH
Title or Position: OWNER / CEO
Credential:
Phone: 302-256-7223