SNH del Tenant LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SNH DEL TENANT LLC

Doing business as

Forwood Manor

Practice address

1912 Marsh Road
Wilmington, DE 19810-3954

Phone

(302) 529-1600

Fax

(302) 529-1689

NPI assigned

Aug 22, 2019

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SNH DEL TENANT LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer F. Mintzer

Title

President & Chief Operating Officer

Phone

(617) 796-8350

Specialties & licenses 2

Addresses

Other names 1

• FORWOOD MANOR Doing business as

Part of

SNH del Tenant LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1073160156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 300",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581634",
            "telephone_number": "617-796-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MARSH ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103954",
            "telephone_number": "302-529-1600",
            "fax_number": "302-529-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH DEL TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH DEL TENANT LLC",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "MINTZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-796-8350"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORWOOD MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya J Smollen, NP
• Rachel Smolskis, AGACNP-BC
• Craig Gordon Smucker, M.D.
• Luellen Artress Smucker, L.C.S.W.
• Julia Snavely, OTR/L
• SNH del Tenant LLC (Foulk Manor South)
• SNH del Tenant LLC (Foulk Living)
• SNH del Tenant LLC (Shipley Living)
• Alexandra Snopkowski, OTRL
• Angela Nadine Snow

• Skilled Nursing Facility in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Skilled Nursing Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.