Healthcare Provider Details
I. General information
NPI: 1023665874
Provider Name (Legal Business Name): CARE AT HOME OF DELAWARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2019
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 MONTCHANIN RD STE 50
WILMINGTON DE
19807-2179
US
IV. Provider business mailing address
20 MONTCHANIN RD STE 50
WILMINGTON DE
19807-2179
US
V. Phone/Fax
- Phone: 302-502-7138
- Fax:
- Phone: 302-502-7138
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MORRIS
PETERZELL
Title or Position: OWNER/CEO
Credential: DO
Phone: 302-442-3600