STATE STREET ASSISTED LIVING
NPI 1740342989
Assisted Living Facility in Dover, DE

Active since December 14, 2006
21 N STATE ST, DOVER, DE 19901(302) 674-2144(302) 674-2048 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About State Street Assisted Living NPPES

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

STATE STREET ASSISTED LIVING (NPI 1740342989) is a healthcare organization registered as an assisted living facility in Dover, Delaware and active in the NPI registry since December 2006. The organization lists Jackie Tuxward, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1740342989
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSTATE STREET ASSISTED LIVING
Location Address21 N STATE STDover, DE 19901-3802
Mailing Address21 N State StDover, DE 19901-3802 · (302) 674-2144 · Fax (302) 674-2048
Fax(302) 674-2048
Organization SubpartNo
Authorized OfficialJackie TuxwardBusiness Office Manager · (302) 674-2144
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1740342989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in DE · 1649
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.

21 N STATE ST, Dover, DE 19901

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 08D2187648

State Street Assisted Living · Dover, DE
Expired · Jul 5, 2026
CLIA Number08D2187648
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 6, 2024
Certificate Expiration DateJuly 5, 2026
Laboratory DirectorRebecca E. Thomas
Laboratory Phone(302) 674-2144
Laboratory LocationState Street Assisted Living21 N State Street, Dover, DE 19901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
21 N STATE ST
DOVER, DE 19901
Assisted Living Facility
21 N STATE ST
DOVER, DE 19901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Street Assisted Living's NPI number?

The NPI number for State Street Assisted Living is 1740342989. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is State Street Assisted Living located?

State Street Assisted Living is located at 21 N State St, Dover, DE 19901. The listed phone number is (302) 674-2144.

What is State Street Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for State Street Assisted Living was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.