STATE OF DELAWARE (NPI# 1962557561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962557561 |
| Entity Type | Organization |
| Organization Name | STATE OF DELAWARE |
| Other Organization Name | STOCKLEY CENTER |
| Practice Address |
26351 Patriots Way Georgetown DE 19947-2575 |
| Practice Telephone | 3029333000 |
| Practice Fax Number | 3029341376 |
| Mailing Telephone | 3029333000 |
| Mailing Fax Number | 3029341376 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. VALERIE J. SMITH (CHIEF OF ADMINISTRATION) |
| Authorized Official Telephone | 3027449600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 1047 | DE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000031813 | 05 |
| Other Name | Type Code |
|---|---|
| Stockley Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669977930 | State of Delaware | Case Management | 1054 S Governors Ave, Dover, DE 19904-6920 | 2018-03-28 |
| 1114283850 | State of Delaware | Clinic/Center | 669 S Carter Rd, Smyrna, DE 19977-1752 | 2012-04-06 |
| 1932243805 | State of Delaware | Local Education Agency (LEA) | 945 Forest St, Dover, DE 19904-3401 | 2007-02-16 |
| 1841334711 | State of Delaware | Local Education Agency (LEA) | 318 E Basin Rd, New Castle, DE 19720-4214 | 2007-02-16 |
| 1568506434 | State of Delaware | Local Education Agency (LEA) | 519 N Market St, Wilmington, DE 19801-3004 | 2007-02-16 |
| 1730223603 | State of Delaware | Local Education Agency (LEA) | 82 Monrovia Ave, Smyrna, DE 19977-1431 | 2007-02-16 |
| 1194869065 | State of Delaware | Local Education Agency (LEA) | 1121 Thatcher St, Wilmington, DE 19802-5135 | 2007-02-16 |
| 1487798351 | State of Delaware | Local Education Agency (LEA) | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2007-02-16 |
| 1013051986 | State of Delaware | Local Education Agency (LEA) | 21 N Bradford St, Dover, DE 19904-3101 | 2007-02-16 |
| 1740324615 | State of Delaware | Local Education Agency (LEA) | 2200 N Locust St, Wilmington, DE 19802-4429 | 2007-02-16 |
| Street Address |
26351 PATRIOTS WAY |
| City | GEORGETOWN |
| State | DE |
| Zip Code | 19947-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568442226 | Salvatore F Salfi | Social Worker | 26351 Patriots Way, 102 Lloyd Lane, Georgetown, DE 19947-2575 | 2006-01-19 |
| 1427573336 | Kimberly Ann Yates | Nurse Practitioner | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2017-08-11 |
| 1265983365 | Pamela Weston | Nurse Practitioner | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2016-10-24 |
| 1972986198 | Kenneth Lutz | Respite Care | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2015-07-07 |
| 1952784522 | Bradley Ritzler | Respiratory Therapist, Registered | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2015-07-01 |
| 1346622370 | Stokley Center | Point of Service | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2015-06-25 |
| 1386026532 | Dante Lobato | Respiratory Therapist, Certified | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2015-06-24 |
| 1356723688 | Luann Goldfarb | Respiratory Therapist, Registered | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2015-06-23 |
| 1700268034 | Nancy Collick | Respiratory Therapist, Certified | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2015-06-23 |
| 1851773493 | Jack Willey | Respiratory Therapist, Registered | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2015-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417454794 | Adrienne Evans | Counselor | 20505 Dupont Blvd., Georgetown, DE 19947 | 2018-04-12 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1558891143 | Anthony Powell | Registered Nurse | 18357 Dupont Blvd, Georgetown, DE 19947 | 2017-06-15 |
| 1295262905 | Christa Rodriguez | Registered Nurse | 22975 Lewes Georgetown Hwy, Georgetown, DE 19947 | 2017-05-12 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1649628637 | Penelope Pitts | Counselor | 20707 N Dupont Boulevard, Georgetown, DE 19947 | 2016-05-31 |
| 1972996361 | Rocky Mountain Holdings, LLC | Ambulance | 21479 Rudder Ln, Georgetown, DE 19947 | 2015-03-10 |
| 1639413867 | Sheri Lynn Mcafee-garner | Nurse Practitioner | 23203 Dupont Blvd, Georgetown, DE 19947 | 2012-11-09 |
| 1417205071 | Amber Nichole West | Occupational Therapy Assistant | 110 West North Street, Georgetown, DE 19947 | 2012-08-29 |
| 1104130657 | Brain Works Incorporated | Counselor | 20155 Office Circle, Suite 2 Georgetown Professional Park, Georgetown, DE 19947 | 2010-07-27 |
| Find all providers in zip 19947 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497276323 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 7815 Gamble Road, Georgetown, TN 37336 | 2017-06-30 |
| 1851812796 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 7817 Gamble Road, Georgetown, TN 37336 | 2017-06-30 |
| 1225171796 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 11421 Highway 58, Georgetown, TN 37336-4040 | 2007-02-15 |
| 1952444614 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 11419 Highway 58, Georgetown, TN 37336-4040 | 2007-02-14 |
| 1558417683 | State of Delaware | Intermediate Care Facility, Mentally Retarded | 26351 Patriots Way, Georgetown, DE 19947-2575 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588937486 | Delawre Mentor | Intermediate Care Facility, Mentally Retarded | 28417 Dupont Highway, Millsboro, DE 19966-1209 | 2012-02-23 |
| 1639442114 | Alpha Home Care Inc | Intermediate Care Facility, Mentally Retarded | 2 Best Ct, Newark, DE 19702-8624 | 2012-02-15 |
| 1073603080 | Voca Corporation | Intermediate Care Facility, Mentally Retarded | 140 Songsmith Dr, Newark, DE 19702-4458 | 2006-10-13 |
| City | GEORGETOWN |
| Zip Code | 19947 |
Please comment or provide details below to improve the information on STATE OF DELAWARE.
| 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.