NPIMap

Organization Active NPI

SNH SE Tenant TRS, Inc

Doing business as Coventry Village

  • Assisted Living Facility
  • Madison, WI
National Provider Identifier
1528797685
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH SE TENANT TRS, INC
Doing business as
Coventry Village
Practice address
7707 N Brookline Dr
Madison, WI 53719-3510
Phone
(608) 662-7622
Fax
(608) 829-0607
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard W. Siedel Jr.
Title
Cfo & Treasurer
Phone
(617) 796-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7707 N Brookline Dr
Madison, WI 53719-3510

Mailing address

7707 N Brookline Dr
Madison, WI 53719-3510
Phone (608) 662-7622

Other names 1

  • Coventry Village 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
52D1056058Terraces at Coventry Village, the7707 N Brookline Drive, Madison, WI 53719Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
SNH SE Tenant TRS Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1528797685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 N BROOKLINE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193510",
            "telephone_number": "608-662-7622",
            "fax_number": "608-829-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 N BROOKLINE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193510",
            "telephone_number": "608-662-7622",
            "fax_number": "608-829-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE TENANT TRS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "SIEDEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CFO & TREASURER",
        "authorized_official_telephone_number": "617-796-8350",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coventry Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.