SNH SE Burlington Tenant LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-001-141 Issued in NC

Legal business name

SNH SE BURLINGTON TENANT LLC

Practice address

118 Alamance Rd
Burlington, NC 27215-5583

Phone

(336) 227-2328

Fax

(336) 227-2329

NPI assigned

Jul 22, 2011

Organization subpart

Yes

Parent organization

SNH SE BURLINGTON TENANT LLCAs 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 1

Addresses

Other names 1

• Homeplace of Burlington Doing business as

Part of

SNH SE Burlington Tenant LLC

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1992083109",
    "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",
            "fax_number": "617-796-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ALAMANCE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155583",
            "telephone_number": "336-227-2328",
            "fax_number": "336-227-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNH SE BURLINGTON TENANT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNH SE BURLINGTON TENANT LLC",
        "enumeration_date": "2011-07-22",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "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-001-141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homeplace of Burlington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homeplace of Burlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quandra V Smith
• Sarah Shaver Smith
• Stephanie Demetrius Smith
• Yolandra Renee Smith
• Zachary Parrish Smith
• Brian Sninsky, M.D
• Nicole Lynn Sninsky, PA-C, ATC
• Christopher Michael Snow, RPH
• Soft Landing Sunrise Counseling, PLLC
• Anna Melissa Solum, MD

• Assisted Living Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.