SNH Fla Tenant LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SNH FLA TENANT LLC

Doing business as

Forum at Deer Creek

Practice address

3001 Deer Creek Country Club Blvd
Deerfield Beach, FL 33442-8438

Phone

(954) 698-6269

Fax

(954) 428-3074

NPI assigned

Aug 22, 2019

Last updated

May 1, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

SNH FLA 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 2

Addresses

Other identifiers 1

Other names 1

• Forum at Deer Creek Doing business as

Part of

SNH Fla Tenant LLC

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": "1598312688",
    "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": "3001 DEER CREEK COUNTRY CLUB BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428438",
            "telephone_number": "954-698-6269",
            "fax_number": "954-428-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH FLA TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH FLA 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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forum at Deer Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Skilled Nursing Facility in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.