SNH NJ Tenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SNH NJ TENANT LLC

Doing business as

Leisure Park Health Center

Practice address

1400 Route 70
Lakewood, NJ 08701-5949

Phone

(732) 370-0444

Fax

(732) 370-1783

NPI assigned

Aug 21, 2019

Organization subpart

Yes

Parent organization

SNH NJ 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 names 1

• Leisure Park Health Center Doing business as

Part of

SNH NJ Tenant LLC

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1376190660",
    "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": "1400 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015949",
            "telephone_number": "732-370-0444",
            "fax_number": "732-370-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH NJ TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH NJ TENANT LLC",
        "enumeration_date": "2019-08-21",
        "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": "Leisure Park Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leisure Park Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chava Breindel Smith, OTR/L
• Heather Smith
• Michelle Smith
• Sarah Smith
• Wilda I. Smithers, M.D.
• SNH NJ Tenant LLC
• SNH NJ Tenant LLC
• Fayge Baila Snow
• Shoshana Raizel Snow, OTR-L
• Lindsay Snyder, MS, OTR/L

• Assisted Living Facility in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Assisted Living Facility in New Jersey

• 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.