Healthcare Provider Details

I. General information

NPI: 1023613437
Provider Name (Legal Business Name): DELAWARE 4 THE SENIORS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2020
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N WEST ST
WILMINGTON DE
19801-1050
US

IV. Provider business mailing address

1000 N WEST ST
WILMINGTON DE
19801-1050
US

V. Phone/Fax

Practice location:
  • Phone: 877-291-0413
  • Fax: 877-291-0413
Mailing address:
  • Phone: 877-291-0413
  • Fax: 877-291-0413

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: BRIAN ERIC THOMPSON
Title or Position: CEO
Credential:
Phone: 215-808-0088