SNH SE Holly Hill Tenant, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9473 Issued in FL

Legal business name

SNH SE HOLLY HILL TENANT, LLC

Doing business as

Riviera Assisted Living Residences

Practice address

1825 Ridgewood Ave
Holly Hill, FL 32117-1737

Phone

(386) 677-5000

NPI assigned

Sep 11, 2014

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SNH SE HOLLY HILL 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

• Riviera Assisted Living Residences Doing business as

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

CLIA laboratory certificates

Part of

SNH SE Holly Hill Tenant LLC

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1518368372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581637",
            "telephone_number": "617-796-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 RIDGEWOOD AVE",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321171737",
            "telephone_number": "386-677-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE HOLLY HILL TENANT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH SE HOLLY HILL TENANT, LLC",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "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": "FL",
            "license": "9473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riviera Assisted Living Residences",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riviera Plaza Medical Office LLC
• Linda Anne Rodgers, LMHC
• Robert W Sessoms, MD
• Deborah L Smith, LMT
• Kenneth W Smith, LMT
• Solutions Counseling, Inc.
• Benjamin Spitz, PHARM.D
• Kathy D Stanley, OTRL
• Cassidy Thompson
• John David Townsend, LCSW

• Assisted Living Facility in Holly Hill, FL
• Providers in Holly Hill, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.