NPIMap

Organization Active NPI

SNH Derby Tenant LLC

  • Assisted Living Facility
  • Somerset, KY
National Provider Identifier
1679122865
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 DERBY TENANT LLC
Practice address
100 Neighborly Way
Somerset, KY 42503-6147
Phone
(606) 677-0166
Fax
(606) 677-0109
NPI assigned
Sep 10, 2019
Organization subpart
Yes
Parent organization
SNH DERBY 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

100 Neighborly Way
Somerset, KY 42503-6147

Mailing address

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

Other names 1

  • The Neighborhood of Somerset Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SNH Derby Tenant LLC7 organizations share this tax ID, including this one
Part of
SNH Derby Tenant LLC

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1679122865",
    "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": "100 NEIGHBORLY WAY",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036147",
            "telephone_number": "606-677-0166",
            "fax_number": "606-677-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH DERBY TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH DERBY TENANT LLC",
        "enumeration_date": "2019-09-10",
        "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": "The Neighborhood of Somerset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

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.