SHIPLEY MANOR – NPI #1790738755
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

SHIPLEY MANOR is a skilled nursing facility (SNF) located in WILMINGTON, DE. NPPES has assigned the NPI number 1790738755 to SHIPLEY MANOR on May 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHIPLEY MANOR” is a dba name, the actual legal business name for this organization is FS TENANT POOL I TRUST. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 7 years ago on Mar 27, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHIPLEY MANOR below.

NPI Profile for
FS TENANT POOL I TRUST

NPI Number
1790738755
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FS TENANT POOL I TRUST
Doing Business As (dba): SHIPLEY MANOR
Primary location
2723 SHIPLEY ROAD
WILMINGTON, DE 19810
Phone: (302) 479-0111 Fax: (302) 497-5880
Mailing address
400 CENTRE STREET
NEWTON, MA 02458
Phone: (617) 796-8160 Fax: (617) 796-8375
Organization Subpart
Yes - SHIPLEY MANOR is subpart of another organization.
Authorized Official
KATHERINE POTTER
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone: (617) 796-8387
Updated
Identifiers

Identifiers for SHIPLEY MANOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDE000118311
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
310400000X
- Assisted Living Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.