Provider Demographics
NPI:1316320476
Name:HOCKESSIN HEALTH PARTNERS LLC
Entity type:Organization
Organization Name:HOCKESSIN HEALTH PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:302-235-8734
Mailing Address - Street 1:5850 LIMESTONE RD
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9731
Mailing Address - Country:US
Mailing Address - Phone:302-235-8734
Mailing Address - Fax:302-235-8593
Practice Address - Street 1:5850 LIMESTONE RD
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9731
Practice Address - Country:US
Practice Address - Phone:302-235-8734
Practice Address - Fax:302-235-8593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2741310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility