Organization Active NPI

SNH SE SG Tenant LLC

  • Assisted Living Facility
  • Mount Pleasant, SC
National Provider Identifier
1669744413
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH SE SG TENANT LLC
Practice address
1010 Lake Hunter Circle
Mount Pleasant, SC 29464-5417
Phone
(843) 388-2030
NPI assigned
Feb 8, 2012
Organization subpart
Yes
Parent organization
SNH SE SG TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

1010 Lake Hunter Circle
Mount Pleasant, SC 29464-5417

Mailing address

255 Washington Street, Suite 300
2 Newton Place
Newton, MA 02458-2076

Other names 1

  • Savannah Grace at the Palms of Mount Pleasant Doing business as

National Provider Directory

National Provider Directory
Part of
SNH SE SG Tenant LLC

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1669744413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON STREET, SUITE 300",
            "address_2": "2 NEWTON PLACE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE HUNTER CIRCLE",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645417",
            "telephone_number": "843-388-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE SG TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH SE SG TENANT LLC",
        "enumeration_date": "2012-02-08",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "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
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Grace at the Palms of Mount Pleasant",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Savannah Grace at the Palms of Mount Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.