STATE STREET ASSISTED LIVING (NPI# 1740342989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740342989 |
| Entity Type | Organization |
| Organization Name | STATE STREET ASSISTED LIVING |
| Practice Address |
21 N State St Dover DE 19901-3802 |
| Practice Telephone | 3026742144 |
| Practice Fax Number | 3026742048 |
| Mailing Telephone | 3026742144 |
| Mailing Fax Number | 3026742048 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JACKIE TUXWARD (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 3026742144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1649 | DE | Nursing & Custodial Care Facilities |
| Street Address |
21 N STATE ST |
| City | DOVER |
| State | DE |
| Zip Code | 19901-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851763718 | State Senior Care, LLC | Assisted Living Facility | 21 N State St, Dover, DE 19901-3802 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| 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 |
|---|---|---|---|---|
| 1265830350 | The Inn At Northwood Village | Assisted Living Facility | 5799 N Wooster Avenue Ext Nw, Dover, OH 44622-6400 | 2014-12-05 |
| 1922401488 | Patty's House 4 LLC | Assisted Living Facility | 2805 Jerry Smith Rd, Dover, FL 33527-5449 | 2014-09-29 |
| 1194156489 | Rafael Avecillas | Assisted Living Facility | 2644 Fritzke Rd, Dover, FL 33527-3433 | 2013-12-11 |
| 1174745624 | Wentworth Home for The Aged | Assisted Living Facility | 795 Central Avenue, Dover, NH 03820 | 2007-05-03 |
| 1366592545 | Emeritus Corporation | Assisted Living Facility | 150 Saulsbury Road, Dover, DE 19904 | 2007-01-11 |
| 1689613523 | Hennis Care Centre of Dover Inc. | Assisted Living Facility | 1720 N Cross St, Dover, OH 44622-1043 | 2006-06-06 |
| 1407803620 | Dover Alf Limited Liability Company | Assisted Living Facility | 1203 Walker Rd, Dover, DE 19904-6541 | 2006-05-31 |
| 1730673674 | Horizon Care Leasing, LLC | Assisted Living Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2018-06-14 |
| 1174077903 | Dover Aid II Opco LLC | Assisted Living Facility | 1203 Walker Rd, Dover, DE 19904-6541 | 2016-08-10 |
| 1851763718 | State Senior Care, LLC | Assisted Living Facility | 21 N State St, Dover, DE 19901-3802 | 2015-10-30 |
| Find all providers in DOVER | ||||
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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.