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SNH SE TENANT TRS INC NPI 1366976961


NPI Information

NPI: 1366976961
Provider Name: SNH SE TENANT TRS, INC

Doing Business As: FIVE STAR PREMIER RESIDENCES OF POMPANO BEACH

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2132116

Address:
1371 S OCEAN BLVD
POMPANO BEACH, FL
ZIP 33062
Phone: (954) 943-1155
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SNH SE TENANT TRS, INC is an assisted living facility in Pompano Beach, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SNH SE TENANT TRS, INC NPI is 1366976961. The provider is registered as an organization entity type.
The provider Is Doing Business As Five Star Premier Residences Of Pompano Beach.

The provider's business location address is:

1371 S OCEAN BLVD
POMPANO BEACH, FL
ZIP 33062-130
Phone: (954) 943-1155

The provider's authorized official is Jennifer F Mintzer .
The authorized official title is President & Chief Operating Officer and has the following contact phone number (617) 796-8350.

The CLIA number assigned to this NPI record is 10D2132116 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2017 and was last updated on 4/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityALF7702FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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