Healthcare Provider Details

I. General information

NPI: 1265728125
Provider Name (Legal Business Name): CHRISTIANA CARE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 06/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 E BASIN RD WILLIAM PENN HIGH SCHOOL
NEW CASTLE DE
19720-4201
US

IV. Provider business mailing address

200 HYGEIA DR SUITE 2502
NEWARK DE
19713-2049
US

V. Phone/Fax

Practice location:
  • Phone: 302-324-5740
  • Fax:
Mailing address:
  • Phone: 302-623-7362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: THOMAS L CORRIGAN
Title or Position: CFO
Credential:
Phone: 302-623-7203