NPIMap

Organization Active NPI

SNH Cal Tenant LLC

  • Assisted Living Facility
  • Fresno, CA
National Provider Identifier
1487201646
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH CAL TENANT LLC
Practice address
6075 N Marks Ave
Fresno, CA 93711-1600
Phone
(559) 446-6226
Fax
(559) 446-6241
NPI assigned
Aug 22, 2019
Organization subpart
Yes
Parent organization
SNH CAL TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6075 N Marks Ave
Fresno, CA 93711-1600

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634
Phone (617) 796-8350

Other names 1

  • Somerford Place - Fresno Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2224772Somerford Place Fresno6075 North Marks Avenue, Fresno, CA 93711Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
SNH Cal Tenant LLC6 organizations share this tax ID, including this one
Part of
SNH Cal Tenant LLC

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1487201646",
    "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": "6075 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111600",
            "telephone_number": "559-446-6226",
            "fax_number": "559-446-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH CAL TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH CAL TENANT LLC",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "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": "Somerford Place - Fresno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.

Verify at the official NPI Registry.