Provider Demographics
NPI:1326292442
Name:SEASONS HOSPICE & PALLIATIVE CARE OF DELAWARE, LLC
Entity Type:Organization
Organization Name:SEASONS HOSPICE & PALLIATIVE CARE OF DELAWARE, LLC
Other - Org Name:CHRISTIANACARE-ACCENTCARE HOSPICE & PALLIATIVE CARE OF DELAWARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP LEGAL
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-533-3800
Mailing Address - Street 1:6400 SHAFER CT STE 300A
Mailing Address - Street 2:
Mailing Address - City:ROSEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4914
Mailing Address - Country:US
Mailing Address - Phone:800-570-8809
Mailing Address - Fax:
Practice Address - Street 1:220 CONTINENTAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4311
Practice Address - Country:US
Practice Address - Phone:866-443-9856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEHSPC-010Medicaid
DEHSPC-010Medicaid