Organization Active NPI

SNH Longhorn Tenant LLC

  • Assisted Living Facility
  • Dallas, TX
National Provider Identifier
1164079273
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH LONGHORN TENANT LLC
Practice address
7831 Park LN
Dallas, TX 75225-2000
Phone
(214) 369-9902
Fax
(214) 373-1836
NPI assigned
Aug 22, 2019
Organization subpart
Yes
Parent organization
SNH LONGHORN TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

7831 Park LN
Dallas, TX 75225-2000

Mailing address

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

Other names 2

  • Healthcare Center at the Forum at Park Lane Doing business as
  • The Forum at Park Lane Doing business as

National Provider Directory

National Provider Directory
Part of
SNH Longhorn Tenant LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1633910400000",
    "number": "1164079273",
    "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": "7831 PARK LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752252000",
            "telephone_number": "214-369-9902",
            "fax_number": "214-373-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH LONGHORN TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH LONGHORN TENANT LLC",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "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
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Center at the Forum at Park Lane",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Forum at Park Lane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.