WESTSIDE FAMILY HEALTHCARE, INC (NPI# 1801898556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801898556 |
| Entity Type | Organization |
| Organization Name | WESTSIDE FAMILY HEALTHCARE, INC |
| Other Organization Name | BROOKSIDE |
| Practice Address |
27 Marrows Rd Newark DE 19713-3701 |
| Mailing Address |
1802 W 4th St Wilmington DE 19805-3420 |
| Practice Telephone | 3024550900 |
| Practice Fax Number | 3027380176 |
| Mailing Telephone | 3026555822 |
| Mailing Fax Number | 3026555949 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2009-06-23 |
| Authorized Official Name | MS. LOLITA A. LOPEZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3026568292 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTSIDE FAMILY HEALTHCARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000356566 | 05 |
| Other Name | Type Code |
|---|---|
| Brookside | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235493933 | Westside Family Healthcare, Inc | Family Medicine | 306 E Main St, Middletown, DE 19709-1482 | 2012-06-27 |
| 1821232869 | Westside Family Healthcare, Inc | Clinic/Center | 1802 W 4th St, Wilmington, DE 19805-3420 | 2009-04-21 |
| Street Address |
27 MARROWS RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880523 | Kenneth Peter Miller | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2005-06-09 |
| 1932750296 | Veneica Neale | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2019-09-26 |
| 1679051189 | Jimena Jolley | Registered Nurse | 27 Marrows Rd, Newark, DE 19713 | 2018-08-06 |
| 1376073502 | Kawansi Elissa Newton-freeman | Registered Nurse | 27 Marrows Rd, Newark, DE 19713-3701 | 2017-06-20 |
| 1730622044 | Aileen Mcelhaney | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2016-11-18 |
| 1578941738 | Mieshia Staples Clark | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2015-05-08 |
| 1477948669 | Amber Horner | Family Medicine | 27 Marrows Rd, Newark, DE 19713-3701 | 2015-04-03 |
| 1558751917 | Flavee Simone Banfield | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2015-01-23 |
| 1851710164 | Keyma Hansby | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2014-04-15 |
| 1689006256 | Melanie Hiester | Nurse Practitioner | 27 Marrows Rd, Newark, DE 19713-3701 | 2013-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers in NEWARK | ||||
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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.