Active NPI
SNH Lincoln Tenant LLC
Doing business as Brenden Gardens
- Assisted Living Facility
- Springfield, IL
National Provider Identifier
1265161319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SNH LINCOLN TENANT LLC
- Doing business as
- Brenden Gardens
- Practice address
- 900 E Southwind Rd
Springfield, IL 62703-5369 - Phone
- (217) 529-4586
- Fax
- (217) 529-4625
- NPI assigned
- Jun 6, 2022
- Last updated
- Jun 6, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
900 E Southwind Rd
Springfield, IL 62703-5369
Mailing address
900 E Southwind Rd
Springfield, IL 62703-5369
Phone (217) 529-4586
Other names 1
- Brenden Gardens
National Provider Directory
National Provider Directory- Tax ID family
- SNH Lincoln Tenant LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
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": "1265161319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E SOUTHWIND RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627035369",
"telephone_number": "217-529-4586",
"fax_number": "217-529-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E SOUTHWIND RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627035369",
"telephone_number": "217-529-4586",
"fax_number": "217-529-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNH LINCOLN TENANT LLC",
"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": "Brenden Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, IL
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.