NPIMap

Organization Active NPI

SNH NJ Tenant LLC

  • Assisted Living Facility
  • Mt Arlington, NJ
National Provider Identifier
1922656545
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SNH NJ TENANT LLC
Doing business as
Mt Arlington Senior Living
Practice address
2 Hillside Dr
Mt Arlington, NJ 07856-1501
Phone
(973) 601-0988
Fax
(973) 601-0989
NPI assigned
Aug 27, 2019
Organization subpart
Yes
Parent organization
SNH NJ TENANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 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

2 Hillside Dr
Mt Arlington, NJ 07856-1501

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNJ

Other names 1

  • Mt Arlington Senior Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SNH NJ Tenant LLC4 organizations share this tax ID, including this one
Part of
SNH NJ Tenant LLC

Other organizations with this tax ID 3

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": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1922656545",
    "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": "2 HILLSIDE DR",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561501",
            "telephone_number": "973-601-0988",
            "fax_number": "973-601-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH NJ TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH NJ TENANT LLC",
        "enumeration_date": "2019-08-27",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Arlington Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Arlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.