TIDALHEALTH SPECIALTY CARE, LLC
NPI 1801038260
Clinic/Center - Medical Specialty in Millsboro, DE
NPI Status: Active since April 01, 2009
Contact Information
30265 COMMERCE DR UNIT 103
MILLSBORO, DE
ZIP 19966
Phone: (302) 990-3280
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 21D2196224
- CLIA Cert. Type: Other - ADULT FITNESS & REHAB CTR
- CLIA Exp. Date: 10-14-2026
About TIDALHEALTH SPECIALTY CARE, LLC
This page provides the complete NPI Profile along with additional information for Tidalhealth Specialty Care, Llc, a provider established in Millsboro, Delaware operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1801038260 assigned on April 2009. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated one year ago. Tidalhealth Specialty Care, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1801038260
- Provider Legal Name
- TIDALHEALTH SPECIALTY CARE, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 30265 COMMERCE DR UNIT 103 MILLSBORO, DE 19966
- Location Phone
- (302) 990-3280
- Mailing Address
- 100 E CARROLL ST SALISBURY, MD 21801
- Mailing Phone
- (410) 543-7272
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-01-2009
- Last Update Date
- 07-22-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2196224
- Facility Type
- Other - ADULT FITNESS & REHAB CTR
- Certificate Effective Date
- October 15, 2024
- Certificate Expiration Date
- October 14, 2026
- Laboratory Director
- DR. JEFFREY M. WIELAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tidalhealth Specialty Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1801038260, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MILLSBORO, DE 19966
MILLSBORO, DE 19966
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801038260, enumerated as an "organization" on April 01, 2009.
The provider is located at 30265 COMMERCE DR UNIT 103 MILLSBORO, DE 19966 and the phone number is (302) 990-3280.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
