Provider Demographics
NPI:1841293438
Name:CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES, INC.
Entity type:Organization
Organization Name:CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-327-5583
Mailing Address - Street 1:ONE READS WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-1648
Mailing Address - Country:US
Mailing Address - Phone:302-327-5200
Mailing Address - Fax:302-327-5678
Practice Address - Street 1:2116 S DUPONT HWY
Practice Address - Street 2:STE 2
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1249
Practice Address - Country:US
Practice Address - Phone:302-697-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE104100000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000172714OtherDIAMOND STATE
004375OtherAMERIHEALTH
939OtherMID ATLANTIC
DE0000258557Medicaid
DE156075OtherBLUE CROSS BLUE SHIELD
236064OtherMAMSI
DE0000095614OtherDELAWARE PHYSICIANS CARE
0000142238OtherDIAMOND STATE PRIVATE DUT
DE0000172714Medicaid
DE0000523571Medicaid
50627OtherUS HEALTHCARE
531OtherCOVENTRY HEALTHCARE
DE0000142238Medicaid
TRI CAREOtherD000131
DE0000087055Medicaid
1929518OtherUNITED HLTHCCAE OF MID AT
DE0000142238Medicaid
DE0000258557Medicaid