SNH SE Tenant TRS, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

60000296 Issued in CA

Legal business name

SNH SE TENANT TRS, INC

Doing business as

Villa Valencia

Practice address

24552 Paseo de Valencia
Laguna Hills, CA 92653-4236

Phone

(949) 581-6111

Fax

(949) 609-7519

NPI assigned

May 18, 2006

Last updated

Apr 30, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SNH SE TENANT TRS, INCAs 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 names 1

• Villa Valencia Doing business as

Part of

SNH SE Tenant TRS Inc

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1346293750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON STREET",
            "address_2": "2 NEWTON PLACE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "703-854-0823",
            "fax_number": "703-854-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24552 PASEO DE VALENCIA",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534236",
            "telephone_number": "949-581-6111",
            "fax_number": "949-609-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE TENANT TRS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH SE TENANT TRS, INC",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "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": "CA",
            "license": "60000296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Valencia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villa Valencia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.