DOVER PLACE
NPI 1174077903
Assisted Living Facility in Dover, DE

Active since August 10, 2016CLIA 08D0965101 · Waiver
1203 WALKER RD, DOVER, DE 19904(312) 725-7000 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dover Place NPPES

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

DOVER PLACE (NPI 1174077903) is a healthcare organization registered as an assisted living facility in Dover, Delaware and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Peter Tarsney, Authorized Signatory, as its authorized official.

NPPES Registry Identity

NPI1174077903
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDOVER AID II OPCO LLC
Location Address1203 WALKER RDDover, DE 19904-6541
Mailing Address330 N Wabash Ave, Ste 3700Chicago, IL 60611-3586 · (312) 725-7041 · Fax (312) 332-6002
Organization SubpartNo
Authorized OfficialPeter TarsneyAuthorized Signatory · (312) 725-7102
Enumeration DateAugust 10, 2016
NPI 1174077903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1203 WALKER RD, Dover, DE 19904

Other Names 1

Doing Business AsDover Place

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 08D0965101

Dover Place · Dover, DE
Active · expires Jul 21, 2027
CLIA Number08D0965101
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorQueena Mast
Laboratory Phone(302) 735-8800
Laboratory LocationDover Place1203 Walker Road, Dover, DE 19904
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 3

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

Assisted Living Facility
1203 WALKER RD
DOVER, DE 19904
Physical Therapist
1203 WALKER RD
DOVER, DE 19904
Assisted Living Facility
1203 WALKER RD
DOVER, DE 19904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174077903, enumerated as an "organization" on August 10, 2016.

The provider is located at 1203 WALKER RD DOVER, DE 19904 and the phone number is (312) 725-7000.

Assisted Living Facility with taxonomy code 310400000X.