NPIMap

Organization Active NPI

SNH SE Tenant TRS, Inc

  • Assisted Living Facility
  • Jonesboro, GA
National Provider Identifier
1770866519
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH SE TENANT TRS, INC
Practice address
8080 Summit Bus. Pky
Jonesboro, GA 30236
Phone
(770) 477-7207
NPI assigned
Sep 27, 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 Primary

Addresses

Primary practice location

8080 Summit Bus. Pky
Jonesboro, GA 30236

Mailing address

2 Newton PL 255 Washington Street
Suite 300
Newton, MA 02458-1637

Other names 1

  • Palms at Lake Spivey 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
11D2051672Palms at Lake Spivey, the8080 Summit Business Parkway, Jonesboro, GA 30236Certificate of waiverDec 25, 2026

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

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": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1770866519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NEWTON PL 255 WASHINGTON STREET",
            "address_2": "SUITE 300",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 SUMMIT BUS. PKY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30236",
            "telephone_number": "770-477-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE TENANT TRS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH SE TENANT TRS, INC",
        "enumeration_date": "2011-09-27",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palms at Lake Spivey",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palms at Lake Spivey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

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.
  • 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.