SNH SE Tenant TRS, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SNH SE TENANT TRS, INC

Doing business as

Church Creek

Practice address

1200 W Central Rd
Arlington Heights, IL 60005-2403

Phone

(847) 506-3200

Fax

(847) 506-2598

NPI assigned

Apr 18, 2006

Last updated

Oct 11, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SNH SE TENANT TRS, INCAs reported in NPPES

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

Addresses

Other names 1

• Church Creek Doing business as

Part of

SNH SE Tenant TRS Inc

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1912962796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON STREET",
            "address_2": "2 NEWTON PLACE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "703-854-0823",
            "fax_number": "703-854-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052403",
            "telephone_number": "847-506-3200",
            "fax_number": "847-506-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE TENANT TRS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH SE TENANT TRS, INC",
        "enumeration_date": "2006-04-18",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0043893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Church Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Church Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Thomas Smith, DDS
• Tina Victoria Smith, DDS
• Whitney Smith
• Lori Ann Smithe, LCSW, LLC
• Katerina Smyrniotis-Halkias, DDS
• Magdalena Sniadowski, ANP-BC
• Amanda Snider, LMFT
• Julie Snyder, OTR
• Susan M Snyder, LCPC
• Daniel Daeyol So, M.D.

• Assisted Living Facility in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Assisted Living Facility in Illinois

• 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.