Organization · Type 2 NPI

SNH Cal Tenant LLC

Assisted Living Facility · Roseville, CA

NPI number 1194372367 Active

Practice location

110 Sterling Ct
Roseville, CA 95661-3750

Call (916) 772-6500 Map

Fax (916) 772-6501

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: 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.

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NPI record

NPI: 1194372367
Entity type: Organization (Type 2)
Issued: Aug 22, 2019
Last updated: May 1, 2020
Status: Active
Subpart: Yes of SNH Cal Tenant LLC

Other names

Somerford Place - Roseville · doing business as

Authorized official

Jennifer F. Mintzer
President & Chief Operating Officer
(617) 796-8350

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194372367

SNH Cal Tenant LLC's National Provider Identifier is 1194372367, issued on Aug 22, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Roseville, CA. The record was last updated on May 1, 2020.