Organization · Type 2 NPI

SNH Georgia Tenant LLC

Assisted Living Facility · Tucker, GA

NPI number 1265089379 Active

Practice location

1300 Montreal Rd
Tucker, GA 30084-8141

Call (770) 934-0034 Map

Fax (770) 934-0055

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.

Another provider at this address

Five Star Quality Care-Ga, LLCAssisted Living Facility Tucker, GA NPI 1740229707

Other assisted living facility providers in Tucker

See all in Tucker →

NPI record

NPI: 1265089379
Entity type: Organization (Type 2)
Issued: Aug 22, 2019
Last updated: May 4, 2020
Status: Active
Subpart: Yes of SNH Georgia Tenant LLC

Other names

Northlake Garden · 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 1265089379

SNH Georgia Tenant LLC's National Provider Identifier is 1265089379, issued on Aug 22, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tucker, GA. The record was last updated on May 4, 2020.