Healthcare Provider Details

I. General information

NPI: 1750661823
Provider Name (Legal Business Name): DELAWARE HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2011
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1786 WILMINGTON W CHESTER PIKE STE 200A
GLEN MILLS PA
19342-8198
US

IV. Provider business mailing address

3515 SILVERSIDE RD
WILMINGTON DE
19810-4906
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-5707
  • Fax: 302-478-7517
Mailing address:
  • Phone: 302-478-5707
  • Fax: 302-479-2586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHSPC-001
License Number StateDE

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SUSAN D LLOYD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN, MSN
Phone: 302-478-5707