Healthcare Provider Details

I. General information

NPI: 1700231933
Provider Name (Legal Business Name): DELMARVA SENIOR CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2016
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106B WILLIAMSPORT CIRCLE
SALISBURY MD
21804
US

IV. Provider business mailing address

106B WILLIAMSPORT CIRCLE
SALISBURY MD
21804
US

V. Phone/Fax

Practice location:
  • Phone: 443-210-2007
  • Fax: 443-358-5519
Mailing address:
  • Phone: 443-210-2007
  • Fax: 443-358-5519

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 Code372600000X
TaxonomyAdult Companion
License Number
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateMD

VIII. Authorized Official

Name: MRS. CYNTHIA H CHRISTENSEN
Title or Position: OWNER/DIRECTOR/SECRETARY
Credential:
Phone: 443-210-2007