MEDICARE: NEW CASTLE COUNTY SENIOR SERIVCES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1023753332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CASTLE COUNTY SENIOR SERIVCES LLC

Provider Business Mailing Address
First Line	:	1401 PENNSYLVANIA AVE STE 106
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-4125
Country	:	US
Telephone Number	:	917-446-0315
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 PENNSYLVANIA AVE STE 106
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-4125
Country	:	US
Telephone Number	:	917-446-0315
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ELAINE BEUTHER
Credential	:
Telephone Number	:	917-446-0315

Provider Enumeration Date	:	05/02/2022
Last Update Date	:	05/02/2022

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