Provider Demographics
NPI:1841228483
Name:GENESIS PROPERTIES OF DELAWARE LTD
Entity Type:Organization
Organization Name:GENESIS PROPERTIES OF DELAWARE LTD
Other - Org Name:SEAFORD 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 1:1100 NORMAN ESKRIDGE HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-1724
Practice Address - Country:US
Practice Address - Phone:302-629-3575
Practice Address - Fax:302-629-0561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1115314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PV4OtherCAREFIRST - IND/PPO
02QDOtherCAREFIRST - PROV/INQ #
7100050OtherUNITED - AMERICHOICE
DE0000046511Medicaid
DE0000046812Medicaid
0004619000OtherAMERIHEALTH
1039181OtherAETNA-HMO
241383OtherUNITED - MAMSI
MD553637500Medicaid
PV4OtherCAREFIRST - BLUECHOICE
154038OtherBC/BS OF DELAWARE
=========OtherJOHNS HOPKINS
PV4OtherCAREFIRST - BLUECHOICE
02QDOtherCAREFIRST - PROV/INQ #
154038OtherBC/BS OF DELAWARE
=========OtherDELAWARE PHYSICIANS CARE
=========OtherMARYLAND PHYSICIAN CARE
DE0000046812Medicaid