Active NPI
SNH PLFL Tenant LLC
- Assisted Living Facility
- Plantation, FL
National Provider Identifier
1053749580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SNH PLFL TENANT LLC
- Practice address
- 8500 W Sunrise Blvd
Plantation, FL 33322-4017 - Phone
- (954) 476-8500
- NPI assigned
- Oct 18, 2013
- Organization subpart
- Yes
- Parent organization
- SNH PLFL TENANT LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
8500 W Sunrise Blvd
Plantation, FL 33322-4017
Mailing address
255 Washington St Ste 300
Newton, MA 02458-1634
Phone (617) 796-8350
Other names 1
- Five Star Premier Residences of Plantation
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0992415 | Five Star Premier Residences of Plantation | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider Directory- Part of
- SNH PLFL Tenant LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599177600000",
"number": "1053749580",
"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": "8500 W SUNRISE BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333224017",
"telephone_number": "954-476-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNH PLFL TENANT LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SNH PLFL TENANT LLC",
"enumeration_date": "2013-10-18",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"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": "Five Star Premier Residences of Plantation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Five Star Premier Residences of Plantation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.