NPIMap

Organization Active NPI

SNH Lincoln Tenant LLC

  • Assisted Living Facility
  • Troy, IL
National Provider Identifier
1629625686
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH LINCOLN TENANT LLC
Practice address
39 Dorothy Dr
Troy, IL 62294-1389
Phone
(618) 667-1342
NPI assigned
Aug 23, 2019
Organization subpart
Yes
Parent organization
SNH LINCOLN TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 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

39 Dorothy Dr
Troy, IL 62294-1389

Mailing address

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

Other names 1

  • Morningside of Troy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SNH Lincoln Tenant LLC4 organizations share this tax ID, including this one
Part of
SNH Lincoln Tenant LLC

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1629625686",
    "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": "39 DOROTHY DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941389",
            "telephone_number": "618-667-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH LINCOLN TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH LINCOLN TENANT LLC",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "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": "Morningside of Troy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.