Healthcare Provider Details
I. General information
NPI: 1225689771
Provider Name (Legal Business Name): SNH CO TENANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2019
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2050 S MAIN ST
DELTA CO
81416-2407
US
IV. Provider business mailing address
255 WASHINGTON ST STE 300
NEWTON MA
02458-1634
US
V. Phone/Fax
- Phone: 970-874-9773
- Fax: 970-874-3611
- Phone: 617-796-8350
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
BILOTTO
Title or Position: PRESIDENT, CEO, & MANAGING TRUSTEE
Credential:
Phone: 617-796-8350