Active NPIOrganization

Snh SE Mooresville Tenant LLC

Assisted Living Facility in Mooresville, North Carolina

NPI Number1447538657
Practice location
128 Brawley School RD, Mooresville, NC 28117-9102
Fax
704-799-2719
Last updated
June 23, 2020

Snh SE Mooresville Tenant LLC is a healthcare organization based in Mooresville, NC. Snh SE Mooresville Tenant LLC practices in Mooresville, NC. The NPI Number for Snh SE Mooresville Tenant LLC is 1447538657 and holds a License No. HAL-049-030 (NC). The current practice location address for Snh SE Mooresville Tenant LLC is 128 Brawley School RD, Mooresville, NC 28117-9102 and can be reached out via phone at 704-799-2712 and via fax at 704-799-2719.

Provider Profile Details

NPI Number
1447538657
Provider Name
Snh SE Mooresville Tenant LLC
Provider Entity Type
Organization
Address
128 Brawley School RD, Mooresville, NC 28117-9102
Phone Number
704-799-2712
Fax Number
704-799-2719
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
Yes
Parent Organization
Snh SE Mooresville Tenant LLC
Authorized Official
Jennifer F Mintzer · President & Chief Operating Officer · 617-796-8350
Other Names
Summit Place Of Mooresville (Doing Business As)
Provider Enumeration Date
July 22, 2011
Last Update Date
June 23, 2020
Certification Date
June 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
128 Brawley School RD
Mooresville, NC 28117-9102
Zip
28117-9102
Phone Number
704-799-2712
Fax Number
704-799-2719
Mooresville, NC 28117Get directions →

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
Fax Number
617-796-8349

License Information

License Number
HAL-049-030
License State
NC
Taxonomy
Assisted Living Facility · 310400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 SE Mooresville Tenant LLC?

The NPI number of Snh SE Mooresville Tenant LLC is 1447538657. It was assigned on July 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Snh SE Mooresville Tenant LLC?

Snh SE Mooresville Tenant LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in NC under license number HAL-049-030.

Where does Snh SE Mooresville Tenant LLC practice?

The practice location is 128 Brawley School RD, Mooresville, NC 28117-9102. The office can be reached at 704-799-2712 (phone) or 704-799-2719 (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 1447538657 directly on the NPPES registry website.

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