NPIMap

Organization Active NPI

SNH Fla Tenant LLC

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1033766258
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH FLA TENANT LLC
Practice address
501 NW Cashmere Blvd
Port St Lucie, FL 34986-1908
Phone
(772) 334-7441
Fax
(772) 343-1698
NPI assigned
Aug 22, 2019
Organization subpart
Yes
Parent organization
SNH FLA TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 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

501 NW Cashmere Blvd
Port St Lucie, FL 34986-1908

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634
Phone (617) 796-8350

Other names 1

  • The Palms of St. Lucie West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SNH Fla Tenant LLC6 organizations share this tax ID, including this one
Part of
SNH Fla Tenant LLC

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1033766258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST STE 300",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581634",
            "telephone_number": "617-796-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW CASHMERE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861908",
            "telephone_number": "772-334-7441",
            "fax_number": "772-343-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH FLA TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH FLA TENANT LLC",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "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 Palms of St. Lucie West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.