MODERN MATURITY CENTER – NPI #1609923408
Clinic/Center

MODERN MATURITY CENTER is an AHC clinic located in DOVER, DE. NPPES has assigned the NPI number 1609923408 to MODERN MATURITY CENTER on January 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 3 years ago on Jan 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODERN MATURITY CENTER below.

NPI Profile for
MODERN MATURITY CENTER

NPI Number
1609923408
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MODERN MATURITY CENTER
Primary location
1125 FORREST AVE
DOVER, DE 19904
Phone: (302) 734-1200 Fax: (302) 346-5340
Mailing address
1121 FORREST AVE
DOVER, DE 19904-3308
Phone: (302) 734-1200 Fax: (302) 674-1265
Organization Subpart
No
Authorized Official
CAROLYN FREDRICKS
PRESIDENT/CEO
Phone: (302) 734-1200
Updated
Certification Date
Jan 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
251J00000X
- Nursing Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.