100 ST. CLAIRE DRIVE OPERATIONS LLC (NPI# 1215357728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215357728 |
| Entity Type | Organization |
| Organization Name | 100 ST. CLAIRE DRIVE OPERATIONS LLC |
| Other Organization Name | BRACKENVILLE CENTER |
| Practice Address |
100 Saint Claire Dr Hockessin DE 19707-8906 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 6104446350 |
| Practice Fax Number | 6104444395 |
| Mailing Telephone | 6104446350 |
| Mailing Fax Number | 6104444395 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684742 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESIS DE HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brackenville Center | Doing Business As Name - Organization |
| Street Address |
100 SAINT CLAIRE DR |
| City | HOCKESSIN |
| State | DE |
| Zip Code | 19707-8906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699892539 | Nicole Elisee | Occupational Therapist | 100 Saint Claire Dr, Hockessin, DE 19707-8906 | 2007-03-24 |
| 1457837981 | De Pacs 2 Pa | Hospitalist | 100 Saint Claire Dr, Hockessin, DE 19707 | 2018-07-18 |
| 1265943427 | Katie Irene Carpenter | Occupational Therapy Assistant | 100 Saint Claire Dr, Hockessin, DE 19707-8906 | 2017-10-16 |
| 1477072544 | Troy Anthony Day | Occupational Therapist | 100 Saint Claire Dr, Hockessin, DE 19707-8906 | 2017-09-11 |
| 1972945640 | Tiffany James | Physical Therapy Assistant | 100 Saint Claire Dr, Hockessin, DE 19707-8906 | 2013-07-23 |
| 1417215047 | Monica M Mills | Registered Nurse | 100 Saint Claire Dr, Hockessin, DE 19707-8906 | 2012-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174036560 | Troy W Lea | Psychologist | 724 Yorklyn Rd Ste 315, Hockessin, DE 19707 | 2017-11-08 |
| 1073875100 | Amy Frazier | Pharmacist | 2012 Brackenville Road, Hockessin, DE 19707 | 2012-06-14 |
| 1871821322 | Bradley Stanford Why | Nurse Practitioner | 1423 Capitol Trail Drummond Plaza Office Park, Building 1, Suite 1107, Newark, DE 19707 | 2009-11-20 |
| 1003055427 | Dahra Jackson Williams | Psychologist | 710 Yorklyn Road, Hockessin, DE 19707 | 2009-02-09 |
| 1982869442 | Meg Myers | Social Worker | 724 Yorklyn Rd Ste 260, Hockessin, DE 19707 | 2008-07-24 |
| 1114145067 | Jennifer Smith Ravanesi | Pharmacist | Route 7 & Valley Road, Lantana Square, Hockessin, DE 19707 | 2007-04-23 |
| 1336277920 | Paula Marie Falasca | Physical Therapy Assistant | 720 Yorklyn Rd., Suite 150, Hockessin, DE 19707 | 2007-03-02 |
| 1073660031 | Jillann I Hounsell | Dentist | 500 Lantana Drive, Hockessin, DE 19707 | 2007-01-04 |
| 1295811297 | John Bradley | Physical Therapist | 720 Yorklyn Road, Suite 150, Hockessin, DE 19707 | 2006-10-31 |
| 1578519591 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 128 Lantana Dr, Hockessin, DE 19707 | 2006-05-25 |
| Find all providers in zip 19707 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588609671 | Regal Heights Healthcare & Rehab Center, LLC | Skilled Nursing Facility | 6525 Lancaster Pike, Hockessin, DE 19707-9582 | 2006-06-20 |
| 1972508190 | Acts Retirement-life Communities, Inc. | Skilled Nursing Facility | 726 Loveville Road, Hockessin, DE 19707-1515 | 2005-06-15 |
| 1407851645 | Franciscan Eldercare Corp | Skilled Nursing Facility | 100 Saint Claire Drive, Hockessin, DE 19707-8906 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881129641 | Shiney Smiley | Skilled Nursing Facility | 320 Price Dr, Middletown, DE 19709-9933 | 2017-04-28 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1225329170 | Genesis | Skilled Nursing Facility | 167 Darling St, Newark, DE 19702-3761 | 2011-04-27 |
| 1477881456 | Brianne Reed | Skilled Nursing Facility | 387 Glenn Forest Rd, Magnolia, DE 19962-2729 | 2009-12-02 |
| 1942342662 | Greenville Retirement Community L.L.C. | Skilled Nursing Facility | 4031 Kennett Pike, Wilmington, DE 19807-2047 | 2007-02-12 |
| 1447314794 | Jha Wilmington Inc. | Skilled Nursing Facility | 801 N Broom St, Wilmington, DE 19806-4624 | 2006-12-21 |
| 1740358050 | Fs Tenant Pool I Trust | Skilled Nursing Facility | 407 Foulk Rd, Wilmington, DE 19803-3809 | 2006-12-04 |
| 1114090503 | New Castle Care, LLC | Skilled Nursing Facility | 32 Buena Vista Dr, New Castle, DE 19720-4660 | 2006-11-16 |
| 1083796734 | Courtland Manor Inc. | Skilled Nursing Facility | 889 S Little Creek Rd, Dover, DE 19901-4721 | 2006-10-20 |
| 1366537185 | Exceptional Care for Children | Skilled Nursing Facility | 11 Independence Way, Newark, DE 19713 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.