Shipley Manor

LBN: Fs Tenant Pool I Trust
Shipley Manor is an health care organization with primary practice located at 2723 Shipley Road , Wilmington DE 19810. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Fs Tenant Pool I Trust can be contacted via phone (302) 479-0111, or through Potter, Katherine E via phone (617) 796-8387.

Contact Information

Primary practice address
2723 Shipley Road Wilmington DE 19810
Phone: (302) 479-0111
Fax: (302) 497-5880
Website:
Map and Directions
Authorized official contact:
Name: Potter, Katherine E
Phone: (617) 796-8387

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1169 Delaware
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1790738755
LBN Legal business name Fs Tenant Pool I Trust
DBA Doing business as Shipley Manor
Authorized official Potter, Katherine E
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2006
Last updated Mar 27th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790738755 NPPES
Delaware MEDICAID 000118311

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