Organization Active NPI

SNH Az Tenant LLC

  • Assisted Living Facility
  • Tucson, AZ
National Provider Identifier
1639726896
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH AZ TENANT LLC
Practice address
2500 N Rosemont Blvd
Tucson, AZ 85712-2167
Phone
(520) 325-4800
Fax
(520) 325-2872
NPI assigned
Aug 22, 2019
Organization subpart
Yes
Parent organization
SNH AZ TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

2500 N Rosemont Blvd
Tucson, AZ 85712-2167

Mailing address

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

Other names 1

  • The Forum at Tucson 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
03D0642003SNH Az Tenant LLC Dba2500 N Rosemont Blvd, Tucson, AZ 85712Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
SNH Az Tenant LLC

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": "1627603200000",
    "number": "1639726896",
    "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": "2500 N ROSEMONT BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122167",
            "telephone_number": "520-325-4800",
            "fax_number": "520-325-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH AZ TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH AZ TENANT LLC",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "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": "The Forum at Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.