Active NPI
SNH del Tenant LLC
Doing business as Foulk Living
- Skilled Nursing Facility
- Wilmington, DE
National Provider Identifier
1740837574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SNH DEL TENANT LLC
- Doing business as
- Foulk Living
- Practice address
- 1212 Foulk Rd
Wilmington, DE 19803-2741 - Phone
- (302) 478-4296
- Fax
- (302) 478-2956
- NPI assigned
- Aug 26, 2019
- Organization subpart
- Yes
- Parent organization
- SNH DEL TENANT LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1212 Foulk Rd
Wilmington, DE 19803-2741
Mailing address
255 Washington St Ste 300
Newton, MA 02458-1634
Phone (617) 796-8350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | DE |
Other names 1
- Foulk Living
National Provider Directory
National Provider Directory- Part of
- SNH del Tenant LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Newark, DE
- NPI 1174522288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1740837574",
"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": "1212 FOULK RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032741",
"telephone_number": "302-478-4296",
"fax_number": "302-478-2956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNH DEL TENANT LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SNH DEL TENANT LLC",
"enumeration_date": "2019-08-26",
"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": "Foulk Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.