Life at St. Francis Healthcare, Inc.

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

LIFE AT ST. FRANCIS HEALTHCARE, INC.

Doing business as

Saint Francis LIFE College Avenue

Practice address

30 Executive Drive
Newark, DE 19702

Phone

(302) 660-3351

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Clare Marie Thomas, RN,MS

Title

Dir Qa, Compliance, Credentialing

Phone

(302) 747-3336

Specialties & licenses 1

Addresses

Other names 1

• Saint Francis LIFE College Avenue Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Life at St Francis Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Life at St. Francis Healthcare, Inc.

  dba St. Francis LIFE College Avenue

  • PACE Provider Organization
  • Wilmington, DE
  • NPI 1619235934
  NPD tax ID

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1326660895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 JUSTISON ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198015162",
            "telephone_number": "302-421-4956",
            "fax_number": "302-575-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EXECUTIVE DRIVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19702",
            "telephone_number": "302-660-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1072 Justison St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198015162",
            "country_code": "US",
            "telephone_number": "302-660-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE AT ST. FRANCIS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIR  QA, COMPLIANCE, CREDENTIALING",
        "authorized_official_telephone_number": "302-747-3336",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MS"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Francis LIFE College Avenue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Francis LIFE College Avenue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xiaoyang Li
• Jennifer Rochelle Liberato
• Paulette Liberi
• Douglas Lienesch, MD
• Eric Lieu
• Life Span Development Center
• Barbara Light, DO
• Tamara F Lighty
• Deacon Lile, MD
• Sydney Liles, DPT

• PACE Provider Organization in Newark, DE
• Providers in Newark, DE by specialty
• PACE Provider Organization in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.