Life at St. Francis Healthcare, Inc.

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

251T00000X Issued in DE

Legal business name

LIFE AT ST. FRANCIS HEALTHCARE, INC.

Doing business as

St. Francis LIFE College Avenue
St. Francis Life Riverfront

Practice address

1072 Justison St
Wilmington, DE 19801-5162

Phone

(302) 421-4956

Fax

(302) 575-8239

NPI assigned

Apr 24, 2012

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,BS, MS, MJ

Title

Quality & Compliance Director

Phone

(302) 660-3359

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• St. Francis LIFE College Avenue Doing business as
• St. Francis Life Riverfront Doing business as

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.

  • PACE Provider Organization
  • Newark, DE
  • NPI 1326660895
  NPD tax ID

Locations

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1619235934",
    "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": "302-660-3351",
            "fax_number": "302-575-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197023370",
            "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": "2012-04-24",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "QUALITY & COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "302-660-3359",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,BS,  MS, MJ"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "DE",
            "license": "251T00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS PACE NUMBER",
            "identifier": "H5493",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis LIFE College Avenue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Francis Life Riverfront",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• PACE Provider Organization in Wilmington, DE
• Providers in Wilmington, 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 Apr 4, 2024; 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.