Provider Demographics
NPI:1245106871
Name:LOTUS WEST
Entity type:Organization
Organization Name:LOTUS WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:302-500-5997
Mailing Address - Street 1:1812 NEWPORT GAP PIKE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-6179
Mailing Address - Country:US
Mailing Address - Phone:302-500-5991
Mailing Address - Fax:
Practice Address - Street 1:604 W 10TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1424
Practice Address - Country:US
Practice Address - Phone:302-500-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOTUS RECOVERY CENTER OF PRICES CORNER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility