PRIMARY CARE SERVICES AT COUNTRY HOUSE - NPI 1063805315 - Internal Medicine in Wilmington, DE

Q: What is Acts Signature Community Services, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

On this page

About Primary Care Services At Country House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE SERVICES AT COUNTRY HOUSE (NPI 1063805315) is a healthcare organization registered as an internal medicine in Wilmington, Delaware and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Susan Ahern, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063805315

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameACTS SIGNATURE COMMUNITY SERVICES, INC.

Location Address4830 KENNETT PIKEWilmington, DE 19807

Mailing Address420 Delaware DrFort Washington, PA 19034-2711 · (267) 787-4097 · Fax (215) 699-2065

Phone(302) 654-5101

Fax(302) 778-3574

Organization SubpartNo

Authorized OfficialSusan AhernSvp, Cfo · (215) 661-8330

Enumeration DateMarch 11, 2015

Last NPPES UpdateFebruary 20, 2024

NPPES CertifiedFebruary 20, 2024

✔ NPI 1063805315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4830 KENNETT PIKE, Wilmington, DE 19807

Open in Google Maps ↗

Other Names 1

Doing Business AsPrimary Care Services At Country House

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D0983090

Primary Care Services At Country House · Wilmington, DE

Active · expires Feb 13, 2027

CLIA Number08D0983090

Laboratory TypePhysician Office

Certificate Effective DateFebruary 14, 2025

Certificate Expiration DateFebruary 13, 2027

Laboratory DirectorCharity Wanyioke

Laboratory Phone(267) 787-4134

Laboratory LocationPrimary Care Services At Country House4830 Kennett Pike, Wilmington, DE 19807

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENINSULA UNITED METHODIST HOMES

Internal Medicine