SNH Derby Tenant LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SNH DERBY TENANT LLC

Doing business as

Lexington Country Place

Practice address

700 Mason Headley Rd
Lexington, KY 40504-2326

Phone

(859) 259-3486

Fax

(859) 276-2751

NPI assigned

Sep 13, 2019

Last updated

May 4, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SNH DERBY TENANT LLCAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Lexington Country Place Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326698234. Details of each certification follow.

• CCN 185160 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185160

Legal name

SNH DERBY TENANT LLC

Doing business as

LEXINGTON COUNTRY PLACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Oct 27, 1980

Last certification

Apr 3, 2025

Beds

111

Ownership / control type

Corporation

Multi-facility organization

Phoenix Senior Living

Organization structure

LLCProprietary

Enrollment address

700 Mason Headley Rd
Lexington, KY 40504-2326

Nursing home name

LEXINGTON COUNTRY PLACE

Affiliated entity

PHOENIX SENIOR LIVING

Listed as

Lexington Country PlaceCCN 185160 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 27, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11182.8 residents per day on average

Chain

Phoenix Senior Living2 facilities in the chain

Penalties (3 years)

3Fines totaling $27,378

Processed by Care Compare on Aug 1, 2026.

Tax ID family

SNH Derby Tenant LLC7 organizations share this tax ID, including this one

Part of

SNH Derby Tenant LLC

Other organizations with this tax ID 6

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

• SNH Derby Tenant LLC

  dba Morningside of Paducah

  • Assisted Living Facility
  • Paducah, KY
  • NPI 1134778327
  NPD tax ID
• SNH Derby Tenant LLC

  dba Lafayette at Country Place

  • Assisted Living Facility
  • Lexington, KY
  • NPI 1508415787
  NPD tax ID
• SNH Derby Tenant LLC

  dba The Neighborhood of Somerset

  • Assisted Living Facility
  • Somerset, KY
  • NPI 1679122865
  NPD tax ID
• SNH Derby Tenant LLC

  dba Morningside of Mayfield

  • Assisted Living Facility
  • Mayfield, KY
  • NPI 1760031959
  NPD tax ID
• SNH Derby Tenant LLC

  dba Morningside of Hopkinsville

  • Assisted Living Facility
  • Hopkinsville, KY
  • NPI 1780233973
  NPD tax ID
• SNH Derby Tenant LLC

  dba Morningside of Bowling Green

  • Assisted Living Facility
  • Bowling Green, KY
  • NPI 1881243061
  NPD tax ID

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Davanand C Doodnauth, MD

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1568499804

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• SNH Co Tenant LLC

  dba Willow Tree Care Center

  • Skilled Nursing Facility
  • Delta, CO
  • NPI 1225689771

  Abp Trust, Diversified Healthcare Trust, Flat Footed LLC, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH Co Tenant LLC

  dba Mantey Heights Rehabilitation and Care Center

  • Skilled Nursing Facility
  • Grand Junction, CO
  • NPI 1316598865

  Abp Trust, Diversified Healthcare Trust, Flat Footed LLC, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH Co Tenant LLC

  dba Cherrelyn Healthcare Center

  • Skilled Nursing Facility
  • Littleton, CO
  • NPI 1356992812

  Abp Trust, Diversified Healthcare Trust, Flat Footed LLC, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH Co Tenant LLC

  dba Springs Village Care Center

  • Skilled Nursing Facility
  • Colorado Springs, CO
  • NPI 1407407950

  Abp Trust, Diversified Healthcare Trust, Flat Footed LLC, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH Co Tenant LLC

  dba Cedars Healthcare Center

  • Skilled Nursing Facility
  • Lakewood, CO
  • NPI 1447801907

  Abp Trust, Diversified Healthcare Trust, Flat Footed LLC, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH Co Tenant LLC

  dba Skyline Ridge Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Canon City, CO
  • NPI 1629629183

  Abp Trust, Diversified Healthcare Trust, Flat Footed LLC, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH Co Tenant LLC

  dba La Villa Grande Care Center

  • Skilled Nursing Facility
  • Grand Junction, CO
  • NPI 1780235234

  Abp Trust, Diversified Healthcare Trust, Flat Footed LLC, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH del Tenant LLC

  dba Millcroft Living

  • Skilled Nursing Facility
  • Newark, DE
  • NPI 1720635899

  Diversified Healthcare Trust, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH del Tenant LLC

  dba Shipley Living

  • Skilled Nursing Facility
  • Wilmington, DE
  • NPI 1821645904

  Diversified Healthcare Trust, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership
• SNH SC Tenant LLC

  dba Myrtle Beach Manor

  • Skilled Nursing Facility
  • Myrtle Beach, SC
  • NPI 1598312886

  Diversified Healthcare Trust, Phoenix Senior Living LLC, Silver Point Capital Offshore Fund, SNH Proj Lincoln TRS LLC, SNH TRS Licensee Holdco LLC, SNH TRS, Inc.

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Davanand C Doodnauth, MD

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1568499804
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Davanand C Doodnauth, MD

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1568499804

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1326698234",
    "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": "700 MASON HEADLEY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042326",
            "telephone_number": "859-259-3486",
            "fax_number": "859-276-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH DERBY TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH DERBY TENANT LLC",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Country Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Edward Sneeringer, DC
• Geena M Sneeringer, PT, DPT
• Mandi Brooke Snell, NP
• Laurel J Snelling, PA, CSA
• SNF Physiatry Services Ky PLLC
• SNH Derby Tenant LLC (Lafayette at Country Place)
• Gregory T. Snider, M.D.
• Adam Snowden
• Caroline Snowden, MSW, LCSW
• Jackson Evan Snowden

• Skilled Nursing Facility in Lexington, KY
• Providers in Lexington, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.