Organization · Type 2 NPI

SNH Wis Tenant LLC

Assisted Living Facility · Kenosha, WI

NPI number 1487202123 Active

Practice location

8351 Sheridan Rd
Kenosha, WI 53143-6339

Call (262) 948-1100 Map

Fax (262) 948-1200

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.

2 other providers at this address

Other assisted living facility providers in Kenosha

See all in Kenosha →

NPI record

NPI: 1487202123
Entity type: Organization (Type 2)
Issued: Aug 27, 2019
Last updated: May 7, 2020
Status: Active
Subpart: Yes of SNH Wis Tenant LLC

Other names

Meadowmere - Southport · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1487202123

SNH Wis Tenant LLC's National Provider Identifier is 1487202123, issued on Aug 27, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kenosha, WI. The record was last updated on May 7, 2020.