Active NPI
SNH SE Tenant TRS, Inc
- Assisted Living Facility
- Palm Harbor, FL
National Provider Identifier
1447203641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SNH SE TENANT TRS, INC
- Practice address
- 45 Katherine Blvd
Palm Harbor, FL 34684-3661 - Phone
- (949) 581-6111
- Fax
- (727) 787-1506
- NPI assigned
- May 18, 2006
- Organization subpart
- Yes
- Parent organization
- SNH SE TENANT TRS, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Skilled Nursing Facility | 314000000X | 15250951 | FL |
Addresses
Primary practice location
45 Katherine Blvd
Palm Harbor, FL 34684-3661
Mailing address
255 Washington Street
2 Newton Place
Newton, MA 02458
Phone (703) 854-0823
Other names 1
- Stratford Court of Palm Harbor
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0673385 | Stratford Court of Palm Harbor | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- SNH SE Tenant TRS Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633910400000",
"number": "1447203641",
"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": "45 KATHERINE BLVD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843661",
"telephone_number": "949-581-6111",
"fax_number": "727-787-1506"
}
],
"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": "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": "FL",
"license": "15250951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stratford Court of Palm Harbor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Stratford Court of Palm Harbor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palm Harbor, FL
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.
- 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.