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SNH SE BURLINGTON TENANT LLC NPI 1992083109


NPI Information

NPI: 1992083109
Provider Name: SNH SE BURLINGTON TENANT LLC

Doing Business As: HOMEPLACE OF BURLINGTON

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

CLIA Number: 34D1096468

Address:
118 ALAMANCE RD
BURLINGTON, NC
ZIP 27215
Phone: (336) 227-2328
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SNH SE BURLINGTON TENANT LLC is an assisted living facility in Burlington, NC. 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 BURLINGTON TENANT LLC NPI is 1992083109. The provider is registered as an organization entity type.
The provider Is Doing Business As Homeplace Of Burlington.

The provider's business location address is:

118 ALAMANCE RD
BURLINGTON, NC
ZIP 27215-583
Phone: (336) 227-2328
Fax: (336) 227-2329

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 34D1096468 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2011 and was last updated on 8/3/2020.


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 FacilityHAL-001-141NORTH CAROLINAYes

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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