FS Tenant Pool I Trust

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FS TENANT POOL I TRUST

Doing business as

Foulk Manor South

Practice address

407 Foulk Rd
Wilmington, DE 19803-3809

Phone

(540) 341-2195

Fax

(302) 655-6249

NPI assigned

Dec 4, 2006

Organization subpart

Yes

Parent organization

FS TENANT POOL I 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 2

Addresses

Other names 1

• Foulk Manor South Doing business as

Tax ID family

FS Tenant Pool IV Trust2 organizations share this tax ID, including this one

Part of

FS Tenant Pool IV Trust

Other organizations with this tax ID 1

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

• FS Tenant Pool IV Trust

  • Assisted Living Facility
  • Fort Myers, FL
  • NPI 1245256700
  NPD tax ID

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1740358050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033809",
            "telephone_number": "540-341-2195",
            "fax_number": "302-655-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS TENANT POOL I TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FS TENANT POOL I TRUST",
        "enumeration_date": "2006-12-04",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foulk Manor South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foulk Manor South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michonne Lynn Frohnapfel
• Sarah Fronczkowski
• Martha Frost, L.C.S.W.
• Danielle Fryer, DPT
• FS Tenant Pool I Trust
• FS Tenant Pool I Trust
• FS Tenant Pool II Trust
• Pasquale Fucci, MD
• Lynn M Fuchs, MD
• Jackeline Fuentes, PT, DPT

• Assisted Living Facility in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Assisted Living 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.