FS TENANT POOL I TRUST (NPI# 1790738755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790738755 |
| Entity Type | Organization |
| Organization Name | FS TENANT POOL I TRUST |
| Other Organization Name | SHIPLEY MANOR |
| Practice Address |
2723 Shipley Road Wilmington DE 19810 |
| Mailing Address |
400 Centre Street Newton MA 02458 |
| Practice Telephone | 3024790111 |
| Practice Fax Number | 3024975880 |
| Mailing Telephone | 6177968160 |
| Mailing Fax Number | 6177968375 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FS TENANT POOL I TRUST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | 1169 | DE | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 000118311 | 05 |
| Other Name | Type Code |
|---|---|
| Shipley Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851450084 | Fs Tenant Pool I Trust | Skilled Nursing Facility | 1575 Belvidere St, El Paso, TX 79912-2649 | 2006-12-06 |
| 1740358050 | Fs Tenant Pool I Trust | Skilled Nursing Facility | 407 Foulk Rd, Wilmington, DE 19803-3809 | 2006-12-04 |
| 1437177888 | Fs Tenant Pool I Trust | Assisted Living Facility | 2723 Shipley Rd, Wilmington, DE 19810-3251 | 2006-07-17 |
| 1366498719 | Fs Tenant Pool I Trust | Assisted Living Facility | 255 Possum Park Rd, Newark, DE 19711-3877 | 2006-05-26 |
| 1841245313 | Fs Tenant Pool I Trust | Skilled Nursing Facility | 9547 Highway 17 North, Myrtle Beach, SC 29572-4039 | 2006-05-23 |
| 1871546986 | Fs Tenant Pool I Trust | Assisted Living Facility | 1575 Belvidere, El Paso, TX 79912 | 2006-05-18 |
| 1528001609 | Fs Tenant Pool I Trust | Assisted Living Facility | 8500 Royal Palm Blvd, Coral Springs, FL 33065-5715 | 2006-06-14 |
| Street Address |
2723 SHIPLEY ROAD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916710 | Sk Chiropractic | Chiropractor | 3411 Silverside Road., Weldin Building. Suite 106, Wilmington, DE 19810 | 2019-01-18 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1073866265 | Julie Ann Donahue | Counselor | 7 Pinecrest Dr, Wilmington, DE 19810 | 2012-10-25 |
| 1245588227 | Megan Mckinney Watts | Physical Therapist | 6411 Silverside Road, Springer Building, Suite 105, Wilmington, DE 19810 | 2012-08-22 |
| 1316236094 | Anthony J Franzosa IIi | Pharmacist | 1718 Marsh Rd, Wilmington, DE 19810 | 2011-04-01 |
| 1831347202 | Felix John Boffa | Anesthesiology | 2413 Oakmere Rd, Wilmington, DE 19810 | 2008-08-28 |
| 1881818227 | Kuhwald Contact Lens Co Inc | Durable Medical Equipment & Medical Supplies | 2006 Foulk Road, Suite A, Wilmington, DE 19810 | 2007-04-13 |
| 1528187747 | Vincent Emanuel Paolicelli Jr. | Chiropractor | Hanby Building Ste 102 3411 Silverside Rd, Wilmington, DE 19810 | 2007-03-28 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| 1407998040 | Constantine Azarcon | Psychiatry & Neurology | 3411 Silverside Road, Rodney Building Suite 107, Wilmington, DE 19810 | 2007-02-12 |
| Find all providers in zip 19810 | ||||
| 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 |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1356849061 | South Bay Sunset Pavilion | Skilled Nursing Facility | 1565 Gulf Ave, Wilmington, CA 90744-2011 | 2018-01-28 |
| 1043603830 | Ronza Fouch | Skilled Nursing Facility | 1035 Linhof Rd, Wilmington, OH 45177-2915 | 2015-03-18 |
| 1841697422 | Cornelia Nixon Davis, Inc. | Skilled Nursing Facility | 83 Cavalier Dr., 200, Wilmington, NC 28405-4444 | 2014-11-26 |
| 1255682522 | Wrightsville Health Holdings, LLC | Skilled Nursing Facility | 3800 Independence Boulevard, Wilmington, NC 28412-2599 | 2012-09-27 |
| 1194028118 | Lutheran Home - Wilmington, Inc. | Skilled Nursing Facility | 631 Junction Creek Drive, Wilmington, NC 28412-2296 | 2010-12-14 |
| 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 |
| 1225190572 | Embassy Care Center | Skilled Nursing Facility | 555 W Kahler Rd, Wilmington, IL 60481-1527 | 2006-12-14 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19810 |
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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.