SNH FLA TENANT LLC NPI 1801443692

NPI Information

NPI: 1801443692
Provider Name: SNH FLA TENANT LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
12780 KENWOOD LN
FORT MYERS, FL
ZIP 33907
Phone: (239) 278-0078
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SNH FLA TENANT LLC is an assisted living facility in Fort Myers, 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 FLA TENANT LLC NPI is 1801443692. The provider is registered as an organization entity type.

The provider's business location address is:

12780 KENWOOD LN
FORT MYERS, FL
ZIP 33907-605
Phone: (239) 278-0078
Fax: (239) 278-4598

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 enumeration date for this NPI number is 8/26/2019 and was last updated on 5/1/2020.

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
1	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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