Ardentown Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1077 Issued in DE

Legal business name

ARDENTOWN ASSISTED LIVING, LLC

Doing business as

Eden Rock Assisted Living

Practice address

2210 Swiss LN
Wilmington, DE 19810-4241

Phone

(302) 475-9400

Fax

(302) 475-9716

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joyce Ann Winters, NHA

Title

Executive Director

Phone

(302) 475-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eden Rock Assisted Living Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851454912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 SWISS LN",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104241",
            "telephone_number": "302-475-9400",
            "fax_number": "302-475-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SWISS LN",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104241",
            "telephone_number": "302-475-9400",
            "fax_number": "302-475-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENTOWN ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "302-475-9400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "DE",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001057474",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Rock Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 22, 2020; 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.