NPIMap

Organization Active NPI

SNH SC Tenant LLC

Doing business as The Haven in the Village at Chanticleer

  • Assisted Living Facility
  • Greenville, SC
National Provider Identifier
1023665072
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH SC TENANT LLC
Doing business as
The Haven in the Village at Chanticleer
Practice address
355 Berkmans LN
Greenville, SC 29605-5606
Phone
(864) 467-4633
Fax
(864) 770-8778
NPI assigned
Aug 23, 2019
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SNH SC TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2020

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 Operating Officer
Phone
(617) 796-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

355 Berkmans LN
Greenville, SC 29605-5606

Mailing address

255 Washington St Ste 3
Newton, MA 02458-1637
Phone (617) 796-8350

Other names 1

  • The Haven in the Village at Chanticleer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SNH SC Tenant LLC13 organizations share this tax ID, including this one
Part of
SNH SC Tenant LLC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

255 Washington St
Ste 3
Newton, MA 02458

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1023665072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 3",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581637",
            "telephone_number": "617-796-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BERKMANS LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055606",
            "telephone_number": "864-467-4633",
            "fax_number": "864-770-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SC TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH SC TENANT LLC",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "MINTZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-796-8350"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven in the Village at Chanticleer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.