SNH LINCOLN TENANT LLC (NPI# 1629625686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629625686 |
| Entity Type | Organization |
| Organization Name | SNH LINCOLN TENANT LLC |
| Practice Address |
39 Dorothy Dr Troy IL 62294-1389 |
| Mailing Address |
255 Washington St Ste 300 Newton MA 02458-1634 |
| Practice Telephone | 6186671342 |
| Mailing Telephone | 6177968350 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | JENNIFER F. MINTZER (PRESIDENT & CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6177968350 |
| Is Organization Subpart | Y |
| Parent Organization Name | SNH LINCOLN TENANT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Morningside of Troy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366099327 | Snh Lincoln Tenant LLC | Assisted Living Facility | 1201 Hartman Ln, Shiloh, IL 62221-8402 | 2019-08-23 |
| 1902453962 | Snh Lincoln Tenant LLC | Assisted Living Facility | 7130 Crimson Ridge Dr, Rockford, IL 61107-6222 | 2019-08-23 |
| Street Address |
39 DOROTHY DR |
| City | TROY |
| State | IL |
| Zip Code | 62294-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356546212 | Wilkinson Fountains Lease Co LLC | Point of Service | 39 Dorothy Dr, Troy, IL 62294-1389 | 2007-06-19 |
| 1386289692 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 39 Dorothy Dr, Troy, IL 62294-1389 | 2019-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
| 1194056093 | Carol Ann Slazinik | Nurse Anesthetist, Certified Registered | 8634 Blackjack Hollow Ln, Troy, IL 62294 | 2010-01-18 |
| 1083786248 | Andrea B. Shaw, Lcsw | Social Worker | 552 Edwardsville Road, Troy, IL 62294 | 2006-11-14 |
| 1457456923 | Kurt Dick James | Dentist | 550 Edwardsville Rd, Troy, IL 62294 | 2006-09-13 |
| 1992713846 | Rhonda Beth Hanser | Dentist | 334 Bargraves Blvd, Troy, IL 62294 | 2006-08-04 |
| 1487692430 | Deborah Lea Fowler Dixon Bross | Family Medicine | 301 Edwardsville Road, Troy, IL 62294 | 2006-06-03 |
| 1225081052 | Patricia Ellen Miller | Pharmacist | 101 E Market, Troy, IL 62294 | 2006-05-19 |
| 1174576441 | Michael G Csaszar | Dentist | 7656 Plummer Business Drive, Troy, IL 62294 | 2006-05-18 |
| 1710946280 | Rodney L Lupardus | Family Medicine | 108 West Us Highway 40, Troy, IL 62294 | 2006-03-22 |
| 1992080774 | Larrah Lenn Duckworth | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294 | 2011-10-12 |
| Find all providers in zip 62294 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1447892252 | Szr Troy Assisted Living, LLC | Assisted Living Facility | 6870 Crooks Rd, Troy, MI 48098-1704 | 2019-10-14 |
| 1902460728 | Sl Troy, LLC | Assisted Living Facility | 2900 Corporate Dr, Troy, OH 45373-2057 | 2019-04-26 |
| 1417319021 | Woodland Village LLC | Assisted Living Facility | 2902 Tibbits Ave, Troy, NY 12180-7077 | 2016-03-23 |
| 1184868523 | Troy Residential, LLC | Assisted Living Facility | 159 Professional Parkway, Troy, MO 63379 | 2009-04-29 |
| 1568659878 | Assisted Living Concepts Inc | Assisted Living Facility | 2900 Corporate Drive, Troy, OH 45373 | 2007-10-01 |
| 1912114869 | Troy House Residential Care Inc. | Assisted Living Facility | 350 Cap Au Gris St, Troy, MO 63379-1761 | 2007-05-17 |
| 1891865432 | Eden Park Health Services, Inc | Assisted Living Facility | 2405 15th St, Troy, NY 12180-1702 | 2006-11-09 |
| 1346786639 | Troy Crossings LLC | Assisted Living Facility | 2405 15th St, Troy, NY 12180-1702 | 2017-01-11 |
| 1083006720 | Elderhaus Inn #19, LLC | Assisted Living Facility | 125 Anna Ave, Troy, MO 63379-2402 | 2015-03-03 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.