Provider Demographics
NPI:1649855453
Name:ENDLESS POSSIBILITIES IN THE COMMUNITY
Entity type:Organization
Organization Name:ENDLESS POSSIBILITIES IN THE COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANCHARICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-383-0609
Mailing Address - Street 1:351 GEORGE WILLIAMS WAY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3518
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:351 GEORGE WILLIAMS WAY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3518
Practice Address - Country:US
Practice Address - Phone:302-383-0609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000000661Medicaid
DE221000661Medicaid