Provider Demographics
NPI:1235194788
Name:SNH SE TENANT TRS, INC
Entity Type:Organization
Organization Name:SNH SE TENANT TRS, INC
Other - Org Name:THE GARDENS OF BELLAIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:F
Authorized Official - Last Name:MINTZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-796-8350
Mailing Address - Street 1:255 WASHINGTON STREET
Mailing Address - Street 2:2 NEWTON PLACE
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458
Mailing Address - Country:US
Mailing Address - Phone:617-219-1405
Mailing Address - Fax:617-796-8349
Practice Address - Street 1:4620 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4231
Practice Address - Country:US
Practice Address - Phone:713-665-3888
Practice Address - Fax:713-666-0888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SNH SE TENANT TRS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-19
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X, 311500000X
TX110927314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
455975Medicare Oscar/Certification