Jha Wilmington Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1202 Issued in DE

Legal business name

JHA WILMINGTON INC.

Doing business as

Tilton Terrace

Practice address

801 N Broom St
Wilmington, DE 19806-4624

Phone

(302) 652-3861

Fax

(302) 652-1854

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Hupp

Title

Administrator

Phone

(302) 652-3861

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tilton Terrace Doing business as

Tax ID family

Regency Healthcare and Rehab Center2 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.

• Regency Healthcare & Rehab Center LLC.

  • Skilled Nursing Facility
  • Wilmington, DE
  • NPI 1023237500
  NPD tax ID

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447314794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N BROOM ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064624",
            "telephone_number": "302-652-3861",
            "fax_number": "302-652-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BROOM ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064624",
            "telephone_number": "302-652-3861",
            "fax_number": "302-652-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHA WILMINGTON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUPP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "302-652-3861",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024185",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tilton Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jewish Family Services
• Jewish Family Services of Delaware
• David Jezyk, MD
• Tina M. Jezyk, LPCMH, NCC
• JH Therapy Services
• Kanishk Jha, M.D.
• Nandini Jhawar
• Giselle Jimenez, PHD
• Pamela Woods Jimenez, RN, MSN, CFNP, CPNP
• Jing Jin, MD

• 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 Aug 22, 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.