Healthcare Provider Details

I. General information

NPI: 1154430189
Provider Name (Legal Business Name): NANTICOKE ALTERNATIVE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 E KING ST
SEAFORD DE
19973-3505
US

IV. Provider business mailing address

715 E KING ST
SEAFORD DE
19973-3505
US

V. Phone/Fax

Practice location:
  • Phone: 302-628-3000
  • Fax: 302-628-3714
Mailing address:
  • Phone: 302-628-3000
  • Fax: 302-628-3714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1088
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number1088
License Number StateDE

VIII. Authorized Official

Name: VICKI L GIVENS
Title or Position: ADMINISTRATOR
Credential: RN,BS,NHA
Phone: 302-628-3000