PAIN SOLUTION CENTERS OF DELAWARE (NPI# 1568713832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568713832 |
| Entity Type | Organization |
| Organization Name | PAIN SOLUTION CENTERS OF DELAWARE |
| Practice Address |
630 Churchmans Rd Suite 109 Newark DE 19702-1900 |
| Mailing Address |
Po Box 1006 Bensalem PA 19020-5006 |
| Practice Telephone | 2157509600 |
| Practice Fax Number | 2673320948 |
| Mailing Telephone | 2157509600 |
| Mailing Fax Number | 2157528568 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | STEPHEN F. FICCHI (OWNER) |
| Authorized Official Telephone | 2157509600 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | OS3881L | PA | Residential Treatment Facilities |
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | C2-0010172 | DE | Residential Treatment Facilities |
| Street Address |
630 CHURCHMANS RD SUITE 109 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479910 | Jeffrey Marshall | Counselor | 630 Churchmans Rd, Newark, DE 19702-1900 | 2020-02-21 |
| 1578011185 | Devereux Foundation | Clinic/Center | 630 Churchmans Rd, Newark, DE 19702-1900 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649334814 | Newark Physical Therapy | Residential Treatment Facility, Physical Disabilities | 1 Bloomfield Ave, Ste. 201, Newark, NJ 07104-4807 | 2006-12-21 |
| 1225199136 | Eagle Eye Farm Rehabilitation Center | Residential Treatment Facility, Physical Disabilities | 3014 Abbott Hill Road, Newark, VT 05871 | 2006-12-13 |
Please comment or provide details below to improve the information on PAIN SOLUTION CENTERS 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.