Provider Demographics
NPI:1730477399
Name:SNH SE TENANT TRS, INC
Entity Type:Organization
Organization Name:SNH SE TENANT TRS, INC
Other - Org Name:SUMMIT PLACE OF SOUTHPARK
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 1:2 NEWTON PL
Mailing Address - Street 2:255 WASHINGTON STREET, SUITE 300
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1637
Mailing Address - Country:US
Mailing Address - Phone:617-796-8350
Mailing Address - Fax:617-796-8349
Practice Address - Street 1:2101 RUNNYMEDE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3316
Practice Address - Country:US
Practice Address - Phone:704-525-5508
Practice Address - Fax:704-525-2672
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SNH SE TENANT TRS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-18
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-060-116310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility