INGLESIDE HOMES, INC (NPI# 1164563797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164563797 |
| Entity Type | Organization |
| Organization Name | INGLESIDE HOMES, INC |
| Other Organization Name | INGLESIDE ASSISTED LIVING |
| Practice Address |
1605 N Broom St Wilmington DE 19806-3009 |
| Mailing Address |
1010 N Broom St Wilmington DE 19806-4514 |
| Practice Telephone | 3029840950 |
| Practice Fax Number | 3029840955 |
| Mailing Telephone | 3025750283 |
| Mailing Fax Number | 3025759955 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN W JONAS (CONTROLLER) |
| Authorized Official Telephone | 3025750283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 2031 | DE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000041286 | 05 |
| Other Name | Type Code |
|---|---|
| Ingleside Assisted Living | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594049 | Ingleside Homes, Inc | Psychologist | 1005 N Franklin St, Wilmington, DE 19806-4553 | 2012-11-20 |
| Street Address |
1605 N BROOM ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780930305 | Jennifer Merana Cruz Garcia | Physical Therapist | 1605 N Broom St, Wilmington, DE 19806-3009 | 2012-08-01 |
| 1982960357 | Catherine Naredo Belen | Physical Therapist | 1605 N Broom St, Wilmington, DE 19806-3009 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278899 | Gokulawathani Maheswaran | Physical Therapist | Regency Healthcare and Rehabilitation Center, 801, North Broom Street, Wilmington, DE 19806 | 2017-07-18 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1598992448 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 Delaware Avenue, Wilmington, DE 19806 | 2009-06-18 |
| 1144474750 | Delaware Chiropractic At Trolley Square | Chiropractor | 26b Trolley Square, Wilmington, DE 19806 | 2008-11-10 |
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1548444755 | Ellen Louise Gay | Psychologist | 1311 N. Rodney St., Wilmington, DE 19806 | 2007-12-24 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1194922609 | Kymberly M Alvarado | Social Worker | 1213 Deleware Ave, Wilmington, DE 19806 | 2007-06-28 |
| 1083836605 | Counseling Services Inc | Community/Behavioral Health | 18 C Trolley Square, Wilmington, DE 19806 | 2007-05-03 |
| Find all providers in zip 19806 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160156 | Snh Del Tenant LLC | Assisted Living Facility | 1912 Marsh Road, Wilmington, DE 19810-3900 | 2019-08-22 |
| 1619445483 | Harborchase of Wilmington, LLC | Assisted Living Facility | 2004 Shipley Rd, Wilmington, DE 19803-5248 | 2018-11-09 |
| 1316370208 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 3501 Converse Dr, Wilmington, NC 28403-6179 | 2013-08-14 |
| 1437426624 | Weatherly B Landry | Assisted Living Facility | 2029 Burnett Blvd, Wilmington, NC 28401-6939 | 2011-11-16 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1457651309 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 46 S Cardinal Dr, Wilmington, NC 28403-1843 | 2010-10-26 |
| 1780831586 | Arden Courts of Wilmington De LLC | Assisted Living Facility | 700 1/2 Foulk Rd, Wilmington, DE 19803-3708 | 2008-08-22 |
| 1770743510 | Lutheran Senior Services | Assisted Living Facility | 1420 N Franklin St, Wilmington, DE 19806-3178 | 2008-06-16 |
| 1285801233 | Ohio Living Communities | Assisted Living Facility | 175 Cape May Dr, Wilmington, OH 45177-2065 | 2008-05-09 |
| 1902020399 | Sunrise Assisted Living of Wilmington | Assisted Living Facility | 2215 Shipley Rd, Wilmington, DE 19803-2305 | 2007-04-13 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.