Provider Demographics
NPI:1467497834
Name:DOVER HEALTH CARE ASSOCIATES INC
Entity Type:Organization
Organization Name:DOVER HEALTH CARE ASSOCIATES INC
Other - Org Name:SILVER LAKE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:1080 SILVER LAKE BLVD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2410
Practice Address - Country:US
Practice Address - Phone:302-734-5990
Practice Address - Fax:302-734-5985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1116314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
155173OtherBC/BS OF DELAWARE
02P4OtherCAREFIRST - PROV/INQ#
71-01249OtherUNITED - EVERCARE
0004616000OtherAMERIHEALTH
245118OtherUNITED - MAMSI
DE000099112Medicaid
2005342OtherAETNA-HMO
PT7OtherCAREFIRST - IND/PPO
DE0000099211Medicaid
PT7OtherCAREFIRST - BLUECHOICE
02P4OtherCAREFIRST - PROV/INQ#
71-01249OtherUNITED - EVERCARE
=========OtherCOVENTRY
=========OtherHNFS-TRICARE
=========OtherMARYLAND PHYSICIAN CARE
PT7OtherCAREFIRST - BLUECHOICE
=========OtherAETNA-NONHMO
DE000099112Medicaid