NPI Code Detail JSON Logo

1134776180 NPI number — SNH SC TENANT LLC

NPI Number: 1134776180
Health Care Provider/Practitioner: SNH SC TENANT LLC

Information about “1134776180” NPI (SNH SC TENANT LLC) exists in 1134776180 in HTML format HTML  |  1134776180 in plain Text format TXT  |  1134776180 in PDF (Portable Document Format) PDF  |  1134776180 in an XML format XML  formats.

NPI Number : 1134776180 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134776180",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SNH SC TENANT LLC",
    "ParentOrgTIN": null,
    "OrgName": "SNH SC TENANT LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "255 WASHINGTON ST STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02458-1634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-796-8350",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "218 OLD CHAPIN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEXINGTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29072-2030",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-957-3600",
    "PracticeLocationAddressFaxNumber": "803-359-6187",
    "EnumerationDate": "08/23/2019",
    "LastUpdateDate": "05/07/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MINTZER",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": "F.",
    "AuthorizedOfficialTitle": "PRESIDENT & CHIEF OPERATING OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "617-796-8350",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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