Lewes Senior Living Owner, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEWES SENIOR LIVING OWNER, LLC

Doing business as

The Lodge at Historic Lewes

Practice address

1008 Kings Hwy
Lewes, DE 19958-1707

Phone

(302) 291-2302

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

David Bolton, NHA

Title

Regional Director of Operations

Phone

(610) 213-9102

Specialties & licenses 1

Addresses

Other names 1

• The Lodge at Historic Lewes Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1780362806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 KINGS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581707",
            "telephone_number": "302-291-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 KINGS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581707",
            "telephone_number": "302-291-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWES SENIOR LIVING OWNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "610-213-9102",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge at Historic Lewes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lewes, DE
• Providers in Lewes, 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 Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.