MASONIC HOME OF DELAWARE, INC. (NPI# 1184854515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184854515 |
| Entity Type | Organization |
| Organization Name | MASONIC HOME OF DELAWARE, INC. |
| Other Organization Name | HIGHFIELD MASONIC HOME OF DELAWARE |
| Practice Address |
4800 Lancaster Pike Wilmington DE 19807-2559 |
| Practice Telephone | 3029944434 |
| Practice Fax Number | 3029982722 |
| Mailing Telephone | 3029944434 |
| Mailing Fax Number | 3029982722 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |
| Authorized Official Name | MR. REGINALD GORING (EXECUTIVE DIRECTOR/ADMINISTRATOR) |
| Authorized Official Telephone | 3029944434 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1093 | DE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Highfield Masonic Home of Delaware | Doing Business As Name - Organization |
| Street Address |
4800 LANCASTER PIKE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19807-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588773832 | The Weston Group, Inc. | Speech-Language Pathologist | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2006-08-30 |
| 1609362136 | Paxxon Healthcare Services LLC | Occupational Therapist | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2018-07-09 |
| 1851801302 | Shannon Rae Cipolla | Physical Therapy Assistant | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2017-10-10 |
| 1073050357 | Melissa Renee Leeson-fuchs | Occupational Therapist | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2017-01-25 |
| 1679907133 | Madeline Care Center, LLC | Nursing Facility/Intermediate Care Facility | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2013-09-02 |
| 1194097428 | Alice Rowan O'brien | Counselor | 4800 Lancaster Pike, Sussex Cottage, Wilmington, DE 19807-2559 | 2012-02-02 |
| 1255654414 | Lisa A Barner | Physical Therapist | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477846590 | Alex M Raney | Urology | 923 Barley Drive, Wilmington, DE 19807 | 2011-05-23 |
| 1881847580 | Michael D. Lenz | Dentist | 2309 Pennsylvania Ave., Wilmington, DE 19807 | 2008-10-28 |
| 1801934104 | Christine Lynne Eckery | Counselor | 230 Presidential Drive, Suite 003, Wilmington, DE 19807 | 2007-02-01 |
| 1740213024 | Victor M Nippert | Podiatrist | 3801 Kennett Pike, Suite A-102, Wilmington, DE 19807 | 2006-07-09 |
| 1164421731 | Elizabeth L Thomas-bauer, Np | Nurse Practitioner | 3506 Kennett Pike, Suite 301, Wilmington, DE 19807 | 2005-07-18 |
| 1922591320 | Gillespie Plastic & Reconstructive Surgery | Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2018-06-11 |
| 1063805315 | Acts Signature Community Services, Inc. | Internal Medicine | 4830 Kennett Pike, Wilmington, DE 19807 | 2015-03-11 |
| 1790085249 | Mary Brent Whipple | Social Worker | 100 N Dupont Rd, Wilmington, DE 19807 | 2010-11-01 |
| 1790002954 | John William Gillespie IIi | Plastic Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2010-04-28 |
| 1578700472 | Sonia E Palermo | Nurse Practitioner | 3506 Kennett Pike, Wilmington, DE 19807 | 2009-01-14 |
| Find all providers in zip 19807 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750632030 | Sci-coastal House I and II | Nursing Facility/Intermediate Care Facility | 1974 W Lakeshore Drive, Wilmington, NC 28401-6856 | 2012-09-26 |
| 1467680561 | Pike Creek Healthcare Services LLC | Nursing Facility/Intermediate Care Facility | 3540 Three Little Bakers Blvd, Wilmington, DE 19808-1754 | 2009-06-26 |
| 1477674349 | Ssc Wilmington Operating Company LLC | Nursing Facility/Intermediate Care Facility | 820 Wellington Ave, Wilmington, NC 28401-7618 | 2007-04-02 |
| 1144369828 | The Mary Campbell Center | Nursing Facility/Intermediate Care Facility | 4641 Weldin Rd, Wilmington, DE 19803-4829 | 2007-02-06 |
| 1639179948 | Delaware Health Corporation | Nursing Facility/Intermediate Care Facility | 2801 W 6th St, Wilmington, DE 19805-1828 | 2005-07-28 |
| 1679907133 | Madeline Care Center, LLC | Nursing Facility/Intermediate Care Facility | 4800 Lancaster Pike, Wilmington, DE 19807-2559 | 2013-09-02 |
| 1023368719 | Onix Silverside LLC | Nursing Facility/Intermediate Care Facility | 3322 Silverside Rd, Wilmington, DE 19810-3307 | 2012-09-11 |
| 1144487828 | Cadia Healthcare Riverside | Nursing Facility/Intermediate Care Facility | 700 W Lea Blvd, Wilmington, DE 19802-2500 | 2008-05-20 |
| 1255502514 | Autumn Corporation | Nursing Facility/Intermediate Care Facility | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2008-03-14 |
| 1720275159 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 221 Summer Rest Rd, Wilmington, NC 28405-4135 | 2007-10-01 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19807 |
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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.