Provider Demographics
NPI:1821361072
Name:DELAWARE HOSPICE, INC
Entity Type:Organization
Organization Name:DELAWARE HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, BSN
Authorized Official - Phone:302-479-2577
Mailing Address - Street 1:16 POLLY DRUMMOND CENTER, 2ND FLOOR
Mailing Address - Street 2:POLLY DRUMMOND SHOPPING CENTER
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711
Mailing Address - Country:US
Mailing Address - Phone:302-479-2577
Mailing Address - Fax:302-478-7517
Practice Address - Street 1:630 CHURCHMANS RD STE 200
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1944
Practice Address - Country:US
Practice Address - Phone:302-478-5707
Practice Address - Fax:302-478-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-20
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
239212Medicare UPIN