NPIMap

Organization Active NPI

SNH del Tenant LLC

  • Skilled Nursing Facility
  • Newark, DE
National Provider Identifier
1720635899
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SNH DEL TENANT LLC
Practice address
255 Possum Park Rd
Newark, DE 19711-3877
Phone
(302) 366-0160
Fax
(302) 366-7634
NPI assigned
Aug 22, 2019
Organization subpart
Yes
Parent organization
SNH DEL TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 Executive Officer
Phone
(617) 796-8350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

255 Possum Park Rd
Newark, DE 19711-3877

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634
Phone (617) 796-8350

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidDE

Other names 1

  • Millcroft Living Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191206000549 DE Part A Provider - Skilled Nursing Facility 8325471287 Practice locations: Newark, DE

Skilled nursing facility certification: CCN 085021

Legal name
SNH DEL TENANT LLC
Doing business as
MILLCROFT LIVING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 17, 1982
Last certification
Nov 26, 2024
Beds
110
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 15, 2025
Organization structure
LLCProprietary
Incorporated
Jul 10, 2019 in MD
Enrollment address
255 Possum Park Road
Newark, DE 19711-3877

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Encore at ParksideCCN 085021
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 17, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11091.9 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
4Fines totaling $56,814
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
SNH del Tenant LLC

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Diversified Healthcare Trust Organization, Newton, MA For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
SNH TRS, Inc. Organization, Newton, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Christopher J. Bilotto Individual Corporate OfficerPresident and Ceo Jan 1, 2024
Blackrock Inc Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Mar 29, 2022 18.79%
Jennifer B Clark Individual Corporate OfficerSecretary Jan 1, 2020
Matthew C. Brown Individual Corporate OfficerCfo and Treasurer Jan 1, 2024
SNH Proj Lincoln TRS LLC Organization, Newton, MA LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Nov 18, 2021 100%
Robert Brus Individual Contracted Managing EmployeeMD; Feb 15, 2024
Kristopher I, Brown Individual Operational/Managerial ControlExecutive Director/SNF Admin Apr 10, 2023
State Street Corporation Organization, Boston, MA Investment firm 5% Or Greater Indirect Ownership Interest Mar 29, 2022 5.84%
Florain Osundina Individual Operational/Managerial ControlDirector of Nursing Nov 18, 2021
Vanguard Group Inc Organization, Malvern, PA Investment firm 5% Or Greater Indirect Ownership Interest Mar 29, 2022 16.19%
SNH TRS Licensee Holdco LLC Organization, Newton, MA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2020 100%
Jacquelyn S. Anderson Individual Corporate OfficerAsst. Secretary Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 71

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 71

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1720635899",
    "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": "255 POSSUM PARK RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113877",
            "telephone_number": "302-366-0160",
            "fax_number": "302-366-7634"
        }
    ],
    "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": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "MINTZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millcroft Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.