Provider Demographics
NPI:1164002192
Name:THE ARC OF DELAWARE
Entity Type:Organization
Organization Name:THE ARC OF DELAWARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR STAFF ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-966-9400
Mailing Address - Street 1:2 S AUGUSTINE ST STE B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-2504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 S AUGUSTINE ST STE B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-2504
Practice Address - Country:US
Practice Address - Phone:302-996-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE222000686Medicaid
DE000000686Medicaid
DE221000686Medicaid
DE000000093Medicaid
DE000000094Medicaid