Snh Derby Tenant LLC
Assisted Living Facility in Louisville, Kentucky
1275182453- Practice location
- 200 Brookside Dr, Louisville, KY 40243-1200
- Phone
- 502-245-3048
- Fax
- 502-244-6327
- Last updated
- October 11, 2021
Snh Derby Tenant LLC is a healthcare organization based in Louisville, KY. Snh Derby Tenant LLC practices in Louisville, KY. The NPI Number for Snh Derby Tenant LLC is 1275182453. The current practice location address for Snh Derby Tenant LLC is 200 Brookside Dr, Louisville, KY 40243-1200 and can be reached out via phone at 502-245-3048 and via fax at 502-244-6327.
Provider Profile Details
- NPI Number
- 1275182453
- Provider Name
- Snh Derby Tenant LLC
- Provider Entity Type
- Organization
- Address
- 200 Brookside Dr, Louisville, KY 40243-1200
- Phone Number
- 502-245-3048
- Fax Number
- 502-244-6327
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- Yes
- Parent Organization
- Snh Derby Tenant LLC
- Authorized Official
- Jennifer F. Mintzer · President & Chief Operating Officer · 617-796-8350
- Other Names
- The Forum At Brookside (Other Name)
- Provider Enumeration Date
- September 10, 2019
- Last Update Date
- October 11, 2021
- Certification Date
- October 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Brookside Dr
Louisville, KY 40243-1200 - City
- Louisville
- State
- Kentucky
- Zip
- 40243-1200
- Phone Number
- 502-245-3048
- Fax Number
- 502-244-6327
Provider Business Mailing Address Details
- Address
- 255 Washington St Ste 300
Newton, MA 02458-1634 - City
- Newton
- State
- MA
- Zip
- 02458-1634
- Phone Number
- 617-796-8350
License Information
- Taxonomy (1)
- Skilled Nursing Facility · 314000000X
- Taxonomy (2)
- Assisted Living Facility · 310400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Snh Derby Tenant LLC?
The NPI number of Snh Derby Tenant LLC is 1275182453. It was assigned on September 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Snh Derby Tenant LLC?
Snh Derby Tenant LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X).
Where does Snh Derby Tenant LLC practice?
The practice location is 200 Brookside Dr, Louisville, KY 40243-1200. The office can be reached at 502-245-3048 (phone) or 502-244-6327 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275182453 directly on the NPPES registry website.