Provider Demographics
NPI:1437152154
Name:CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES, INC.
Other - Org Name:CHRISTIANA CARE VISITING NURSE ASSOCIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-327-5583
Mailing Address - Street 1:ONE READS WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-1648
Mailing Address - Country:US
Mailing Address - Phone:302-327-5200
Mailing Address - Fax:302-327-5678
Practice Address - Street 1:1 READS WAY
Practice Address - Street 2:STE 100
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1648
Practice Address - Country:US
Practice Address - Phone:302-327-5200
Practice Address - Fax:302-327-5678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE104100000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000095614OtherDIAMOND STATE
DE0000095614OtherDELAWARE PHYSICIANS CARE
DE0000258557Medicaid
DE0000087055Medicaid
1929518OtherUNITED HLTHCARE OF MID AT
50627OtherUS HEALTHCCARE
DE0000095614Medicaid
939OtherMID ATLANTIC
0000142238OtherDIAMOND STATE
004375OtherAMERIHEALTH
DE156075OtherBLUE CROSS BLUE SHIELD
D000131OtherTRI CARE
DE0000523571Medicaid
DE0000142238Medicaid
531OtherCOVENTRY
236064OtherMAMSI
DE0000258557Medicaid
DE0000087055Medicaid