NPIMap

Organization Active NPI

SNH SE Tenant TRS, Inc

  • Assisted Living Facility
  • Clarksville, TN
National Provider Identifier
1114656279
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH SE TENANT TRS, INC
Practice address
51 Patel Way
Clarksville, TN 37043-4105
Phone
(931) 245-1000
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard W. Siedel Jr.
Title
Cfo & Treasurer
Phone
(617) 796-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

51 Patel Way
Clarksville, TN 37043-4105

Mailing address

51 Patel Way
Clarksville, TN 37043-4105
Phone (931) 245-1000

Other names 1

  • Fieldstone Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2106809Fieldstone Place51 Patel Way, Clarksville, TN 37043Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
SNH SE Tenant TRS Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

51 Patel Way
Clarksville, TN 37043
Phone (931) 245-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1114656279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PATEL WAY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434105",
            "telephone_number": "931-245-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PATEL WAY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434105",
            "telephone_number": "931-245-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE TENANT TRS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "SIEDEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CFO & TREASURER",
        "authorized_official_telephone_number": "617-796-8350",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fieldstone Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.

Verify at the official NPI Registry.