Organization · Type 2 NPI

SNH Georgia Tenant LLC

Assisted Living Facility · Conyers, GA

NPI number 1508413618 Active

Practice location

1352 Wellbrook Cir NE
Conyers, GA 30012-3872

Call (770) 922-1654 Map

Fax (770) 922-1148

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

Morningside of Conyers, LLCAssisted Living Facility Conyers, GA NPI 1023053212

Other assisted living facility providers in Conyers

See all in Conyers →

NPI record

NPI: 1508413618
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

Morningside of Conyers · 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 1508413618

SNH Georgia Tenant LLC's National Provider Identifier is 1508413618, issued on Aug 22, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Conyers, GA. The record was last updated on May 4, 2020.