STANFORD COMMUNITY DEVELOPMENT CORPORATION, INC (NPI# 1215534318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215534318 |
| Entity Type | Organization |
| Organization Name | STANFORD COMMUNITY DEVELOPMENT CORPORATION, INC |
| Practice Address |
111 South West Street Suite 5 Dover DE 19904 |
| Mailing Address |
58 Village Drive Dover DE 19904 |
| Practice Telephone | 3022649771 |
| Practice Fax Number | 3022649771 |
| Mailing Telephone | 3024018649 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | TAMEKA STANFORD-DANIELS (DIRECTOR/CHAPLAIN) |
| Authorized Official Telephone | 3024018649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 374T00000X | Religious Nonmedical Nursing Personnel | Nursing Service Related Providers | ||
| N | 405300000X | Prevention Professional | Other Service Providers | ||
| Y | 374K00000X | Religious Nonmedical Practitioner | Nursing Service Related Providers |
| Street Address |
111 SOUTH WEST STREET SUITE 5 |
| City | DOVER |
| State | DE |
| Zip Code | 19904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| 1568832780 | Critical Point Councling | Social Worker | 383 Mockingbird Ave, Dover, DE 19904 | 2015-09-30 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 374K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Religious Nonmedical Practitioner |
| A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. |
| Notes: Source: National Uniform Claim Committee , 2009 [7/1/2009: definition added] |
Please comment or provide details below to improve the information on STANFORD COMMUNITY DEVELOPMENT CORPORATION, INC.
| 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.