Provider Demographics
NPI:1508644865
Name:CSAM HOME CARE
Entity Type:Organization
Organization Name:CSAM HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:302-983-8590
Mailing Address - Street 1:1 CAPANO DR APT B1
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1804
Mailing Address - Country:US
Mailing Address - Phone:302-983-8590
Mailing Address - Fax:
Practice Address - Street 1:1 CAPANO DR APT B1
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1804
Practice Address - Country:US
Practice Address - Phone:302-983-8590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals