NPIMap

Organization Active NPI

SNH SE Tenant TRS, Inc

Doing business as Summit Place of Southpark

  • Assisted Living Facility
  • Charlotte, NC
National Provider Identifier
1730477399
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-060-116 Issued in NC
Legal business name
SNH SE TENANT TRS, INC
Doing business as
Summit Place of Southpark
Practice address
2101 Runnymede LN
Charlotte, NC 28209-3316
Phone
(704) 525-5508
Fax
(704) 525-2672
NPI assigned
Jul 18, 2011
Organization subpart
Yes
Parent organization
SNH SE TENANT TRS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 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 HAL-060-116 NC Primary

Addresses

Primary practice location

2101 Runnymede LN
Charlotte, NC 28209-3316

Mailing address

2 Newton PL
255 Washington Street, Suite 300
Newton, MA 02458-1637
Phone (617) 796-8350

Other names 1

  • Summit Place of Southpark Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SNH SE Tenant TRS Inc22 organizations share this tax ID, including this one
Part of
SNH SE Tenant TRS Inc

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1730477399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NEWTON PL",
            "address_2": "255 WASHINGTON STREET, SUITE 300",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581637",
            "telephone_number": "617-796-8350",
            "fax_number": "617-796-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RUNNYMEDE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093316",
            "telephone_number": "704-525-5508",
            "fax_number": "704-525-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE TENANT TRS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH SE TENANT TRS, INC",
        "enumeration_date": "2011-07-18",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "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": "NC",
            "license": "HAL-060-116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Place of Southpark",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Place of Southpark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

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