SNH Omiss Tenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SNH OMISS TENANT LLC

Doing business as

Hermitage Gardens of Southaven

Practice address

108 Clarington Dr
Southaven, MS 38671-5640

Phone

(662) 349-9043

Fax

(662) 349-7053

NPI assigned

Sep 10, 2019

Organization subpart

Yes

Parent organization

SNH OMISS 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 1

Addresses

Other names 1

• Hermitage Gardens of Southaven Doing business as

Tax ID family

SNH Omiss Tenant LLC2 organizations share this tax ID, including this one

Part of

SNH Omiss Tenant LLC

Other organizations with this tax ID 1

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

• SNH Omiss Tenant LLC

  • Assisted Living Facility
  • Oxford, MS
  • NPI 1548819733
  NPD tax ID

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1457900649",
    "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": "108 CLARINGTON DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715640",
            "telephone_number": "662-349-9043",
            "fax_number": "662-349-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH OMISS TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH OMISS TENANT LLC",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hermitage Gardens of Southaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent Austin Smoyer, PA-C
• Jessica Lynn Smyly, PHARMD
• Jimmy Darrell Sneed, MD
• Brooklyn Paige Snell, PA-C
• Cindy Snellgrove
• Karah Ann Snider, DO
• Marilyn S Snow, PH.D. ,LPC
• Soledad Garcia
• Cory Gary Solowsky
• Katharine Rhodes Sorenson, KATHARINE SORENSON

• Assisted Living Facility in Southaven, MS
• Providers in Southaven, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.