Organization · Type 2 NPI

SNH NC Tenant LLC

Assisted Living Facility · Charlotte, NC

NPI number 1326695404 Active

Practice location

5920 Mcchesney Dr
Charlotte, NC 28269-6238

Call (704) 992-1560 Map

Fax (704) 992-1566

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: 1326695404
Entity type: Organization (Type 2)
Issued: Aug 22, 2019
Last updated: May 7, 2020
Status: Active
Subpart: Yes of SNH NC Tenant LLC

Other names

The Haven In Highland Creek · 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 1326695404

SNH NC Tenant LLC's National Provider Identifier is 1326695404, issued on Aug 22, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Charlotte, NC. The record was last updated on May 7, 2020.