State of Delaware
NPI 1255489548ActiveOrganization· Nursing Facility/Intermediate Care Facility· Milford, DE
Nursing Facility/Intermediate Care Facility in Milford, Delaware, registered in NPPES in January 2007. The authorized official on file is John Clifton Cannon, Regulatory Specialist. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1255489548 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2007 |
| Last updated in NPPES | Aug 20, 2023 |
| Certified by provider | Aug 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | — | — |
| Clinic/Center, Dental | 261QD0000X | — | — |
| Skilled Nursing Facility | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (DE) |
|---|