Organization Active NPI

SNH Ohio Tenant LLC

  • Assisted Living Facility
  • Columbus, OH
National Provider Identifier
1790332088
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 OHIO TENANT LLC
Doing business as
Healthcare Center at the Forum
The Forum at Knightsbridge
Practice address
4590 Knightsbridge Blvd
Columbus, OH 43214-4327
Phone
(614) 451-6793
Fax
(614) 273-2450
NPI assigned
Aug 21, 2019
Organization subpart
Yes
Parent organization
SNH OHIO 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

4590 Knightsbridge Blvd
Columbus, OH 43214-4327

Mailing address

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

Other names 2

  • Healthcare Center at the Forum Doing business as
  • The Forum at Knightsbridge Doing business as

National Provider Directory

National Provider Directory
Part of
SNH Ohio Tenant LLC

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1790332088",
    "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": "4590 KNIGHTSBRIDGE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144327",
            "telephone_number": "614-451-6793",
            "fax_number": "614-273-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH OHIO TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH OHIO TENANT LLC",
        "enumeration_date": "2019-08-21",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Center at the Forum",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Forum at Knightsbridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

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.