FS Tenant Pool II Trust

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1305 Issued in DE

Legal business name

FS TENANT POOL II TRUST

Doing business as

Forwood Manor

Practice address

1912 Marsh Rd
Wilmington, DE 19810-3900

Phone

(302) 529-1600

Fax

(302) 529-1689

NPI assigned

Jan 25, 2006

Organization subpart

Yes

Parent organization

FS TENANT POOL II TRUSTAs reported in NPPES

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

Authorized official

Name

Katherine E Potter

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Forwood Manor Doing business as

Part of

FS Tenant Pool II Trust

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1285604033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MARSH RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103900",
            "telephone_number": "302-529-1600",
            "fax_number": "302-529-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MARSH RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103900",
            "telephone_number": "302-529-1600",
            "fax_number": "302-529-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS TENANT POOL II TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FS TENANT POOL II TRUST",
        "enumeration_date": "2006-01-25",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001188611",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forwood Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forwood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Frost, L.C.S.W.
• Danielle Fryer, DPT
• FS Tenant Pool I Trust (Shipley Manor)
• FS Tenant Pool I Trust (Foulk Manor South)
• FS Tenant Pool I Trust (Shipley Manor)
• Pasquale Fucci, MD
• Lynn M Fuchs, MD
• Jackeline Fuentes, PT, DPT
• Miki Honda Fujiki, MA/CCC-SLP
• Fulcrum Pharmacy Management Inc (Fulcrum Pharmacy)

• 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 Mar 28, 2019; 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.