MEDICARE: CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES, INC.

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	104100000X	Social Worker		DE
2	251E00000X	Home Health Agency		DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000172714	OTHER		DIAMOND STATE
2	004375	OTHER		AMERIHEALTH
3	939	OTHER		MID ATLANTIC
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	156075	OTHER	DE	BLUE CROSS BLUE SHIELD
6	236064	OTHER		MAMSI
7	0000095614	OTHER	DE	DELAWARE PHYSICIANS CARE
8	0000142238	OTHER		DIAMOND STATE PRIVATE DUT
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	50627	OTHER		US HEALTHCARE
12	531	OTHER		COVENTRY HEALTHCARE
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	TRI CARE	OTHER		D000131
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	1929518	OTHER		UNITED HLTHCCAE OF MID AT

General Provider Information

NPI Number	:	1841293438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	ONE READS WAY
Second Line	:	SUITE 100
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-1648
Country	:	US
Telephone Number	:	302-327-5200
Fax Number	:	302-327-5678

Provider Business Practice Location Address
First Line	:	2116 S DUPONT HWY
Second Line	:	STE 2
City	:	CAMDEN
State	:	DE
Zip	:	19934-1249
Country	:	US
Telephone Number	:	302-697-4300
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	DONNA MANLEY
Credential	:
Telephone Number	:	302-327-5583

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/21/2022

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