Provider Demographics
NPI:1265970859
Name:STAMP LOVE
Entity type:Organization
Organization Name:STAMP LOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SWIYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-252-8415
Mailing Address - Street 1:101 PARMA AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-1305
Mailing Address - Country:US
Mailing Address - Phone:302-252-8415
Mailing Address - Fax:
Practice Address - Street 1:101 PARMA AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1305
Practice Address - Country:US
Practice Address - Phone:302-252-8415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X, 251V00000X, 252Y00000X, 302R00000X, 313M00000X, 320800000X, 322D00000X, 323P00000X, 385HR2050X
DE251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care
No251V00000XAgenciesVoluntary or Charitable
No252Y00000XAgenciesEarly Intervention Provider Agency
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp