STATE OF DELAWARE (NPI# 1538123583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538123583 |
| Entity Type | Organization |
| Organization Name | STATE OF DELAWARE |
| Other Organization Name | DELAWARE HOSPITAL FOR THE CHRONICALLY ILL |
| Practice Address |
100 Sunnyside Rd Smyrna DE 19977 |
| Mailing Address |
100 Sunnyside Rd Smyrna DE 19977-1752 |
| Practice Telephone | 3022231000 |
| Practice Fax Number | 3022331501 |
| Mailing Telephone | 3022231000 |
| Mailing Fax Number | 3022331501 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | MR. BARNABAS KERKULA (HOSPITAL DIRECTOR) |
| Authorized Official Telephone | 3022231200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 1046 | DE | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 1046 | DE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000031412 | 05 | |
| DE | 0000151355 | 05 | |
| DE | 0000031511 | 05 |
| Other Name | Type Code |
|---|---|
| Delaware Hospital for the Chronically Ill | 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 |
100 SUNNYSIDE RD |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922473354 | Gateway Foundation Inc. | Substance Abuse Rehabilitation Facility | 100 Sunnyside Rd, Pickett Building, 1st Floor, Smyrna, DE 19977-1752 | 2015-12-10 |
| 1336521822 | Lucille Arranguez | Physical Therapist | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2015-06-22 |
| 1003297722 | Kim Schulenburg | Speech-Language Pathologist | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2015-06-18 |
| 1770714032 | Sharon Grace Burns | Occupational Therapist | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2009-08-05 |
| 1417107921 | Anthony R Cannuli | Psychiatry & Neurology | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2008-09-22 |
| 1275664856 | Barry W.c. Pierce | Pharmacist | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2007-03-08 |
| 1194856492 | Caring Vision Inc | Optometrist | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2007-03-08 |
| 1003943507 | Ami Parikh | Pharmacist | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2007-02-28 |
| 1205963725 | Hooshang Shanehsaz | Pharmacist | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2007-02-28 |
| 1700971827 | Marci Lynn Drees | Internal Medicine | 100 Sunnyside Rd, Smyrna, DE 19977-1752 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
| 1619320819 | Moving Forward Consultant Company | Skilled Nursing Facility | 3315 S Cobb Dr Se Unit 813642, Smyrna, GA 30081-3099 | 2016-07-22 |
| 1124081278 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2006-04-10 |
| 1538157649 | Diversicare Leasing Corp. | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2005-10-12 |
| 1194711606 | Delmar Gardens of Smyrna, LLC | Skilled Nursing Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2005-09-21 |
| 1982157434 | The Waters of Smyrna LLC | Skilled Nursing Facility | 202 Enon Springs Rd E, Smyrna, TN 37167-3011 | 2016-08-02 |
| 1801249941 | Diversicare of Smyrna | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2016-07-13 |
| 1942619010 | Speech Language Pathologist | Skilled Nursing Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2014-08-04 |
| 1235309568 | Miguel E. Stubbs, M.d.p.c. | Skilled Nursing Facility | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2008-03-03 |
| 1063697092 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2008-01-09 |
| Find all providers in SMYRNA | ||||
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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.