CHRISTIANA CARE HEALTH SERVICES INC (NPI# 1104365790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104365790 |
| Entity Type | Organization |
| Organization Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Other Organization Name | CCHS WELLNESS CTR - CONRAD HIGH SCHOOL |
| Practice Address |
201 Jackson Ave Conrad Schools of Science Wilmington DE 19804-2125 |
| Mailing Address |
200 Hygeia Dr Suite 2300 Newark DE 19713-2049 |
| Practice Telephone | 3029925545 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | THOMAL L CORRIGAN (EXECUTIVE VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 3026237203 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 363LS0200X |
Nurse Practitioner Specialization: School |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CCHS Wellness Ctr - Conrad High School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024394 | Christiana Care Health Services Inc | Clinic/Center | 100 W 18th St, Wilmington, DE 19802-4836 | 2019-07-12 |
| 1922586288 | Christiana Care Health Services Inc | Counselor | 1080 Bunker Hill Rd, Middletown, DE 19709-9026 | 2018-07-30 |
| 1194255604 | Christiana Care Health Services Inc | Internal Medicine | 1011 W Baltimore Pike Ste 307, West Grove, PA 19390-9404 | 2017-06-16 |
| 1306375373 | Christiana Care Health Services Inc | Internal Medicine | 111 W High St Ste 104, Elkton, MD 21921-5549 | 2017-06-05 |
| 1588950422 | Christiana Care Health Services Inc | Counselor | 1400 Foulk Rd, Brandywine High School, Room 102, Wilmington, DE 19803-2728 | 2011-06-20 |
| 1457593949 | Christiana Care Health Services Inc | Psychiatry & Neurology | 200 Hygeia Dr Ste 1420, Newark, DE 19713-2049 | 2009-03-30 |
| 1720128176 | Christiana Care Health Services Inc | Pharmacy | 4755 Ogletown Station Rd, Newark, DE 19718-0001 | 2007-02-07 |
| 1326022476 | Christiana Care Health Services Inc | Internal Medicine | 501 W 14th St Fl 6, Wilmington, DE 19801-1013 | 2005-12-02 |
| 1881228484 | Christiana Care Health Services Inc | Psychiatry & Neurology | 161 Wilmington W Chester Pike, Chadds Ford, PA 19317-9041 | 2020-02-24 |
| 1700419967 | Christiana Care Health Services Inc | Obstetrics & Gynecology | 721 E Baltimore Pike, Kennett Square, PA 19348-2405 | 2020-02-17 |
| Street Address |
201 JACKSON AVE CONRAD SCHOOLS OF SCIENCE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19804-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696283 | Interlink Counseling Services, LLC | Clinic/Center | 102 Larch Ave Ste 101f, Newport, DE 19804 | 2018-04-21 |
| 1174045066 | Emma Yunyi Yang | Dentist | 6 Larch Ave Ste 402, Wilmington, DE 19804 | 2017-07-12 |
| 1518312941 | Mark Fisher | Registered Nurse | 13 Main Ave, Wilmington, DE 19804 | 2016-05-04 |
| 1568857019 | Chrystal Graham | Registered Nurse | 1418 Newport Rd, Wilmington, DE 19804 | 2015-04-01 |
| 1871993717 | Emily Elizabeth Brokaw | Speech-Language Pathologist | 99 Middleboro Rd, Wilmington, DE 19804 | 2014-08-28 |
| 1992835201 | H. Donald Jones | Dentist | 1 Winston & Maryland Ave., Wilmington, DE 19804 | 2007-03-06 |
| 1538211172 | Family Dental Center | Dentist | 1 Winston & Maryland Ave, Wilmington, DE 19804 | 2007-01-16 |
| 1205236148 | Jeannie Irvine Henriques | Speech-Language Pathologist | 99 Middleboro Rd, Wilmington, DE 19804 | 2014-08-28 |
| 1497896682 | Avalon Dental LLC | Dentist | 301 S Old Dupont Rd, Ste A, Wilmington, DE 19804-0000 | 2007-02-09 |
| 1982640041 | Manjul Asthana | Psychologist | C/o Harmonious Mind, 240 N. James St, Ste 111, Newport, DE 19804-0000 | 2006-06-20 |
| Find all providers in zip 19804 | ||||
| Taxonomy Code | 363LS0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740560432 | Nicole Alysse Bell | Nurse Practitioner | 1200 N Dupont Hwy, Dover, DE 19901-2202 | 2011-08-25 |
| City | WILMINGTON |
| Zip Code | 19804 |
Please comment or provide details below to improve the information on CHRISTIANA CARE HEALTH SERVICES 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.