Provider Demographics
NPI:1225108327
Name:CHRISTIANA CARE HEALTH INITIATIVES, INC.
Entity Type:Organization
Organization Name:CHRISTIANA CARE HEALTH INITIATIVES, INC.
Other - Org Name:CHRISTIANA CARE INFUSION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:RICHICHI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:302-623-7421
Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:302-623-0345
Mailing Address - Fax:
Practice Address - Street 1:200 HYGEIA DR
Practice Address - Street 2:SUITE 240
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2049
Practice Address - Country:US
Practice Address - Phone:302-623-0345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA3-0000571251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000400407Medicaid
DE0000600316Medicaid
DE0000617707Medicaid
DE0000400407Medicaid