SNH DERBY TENANT LLC (NPI# 1508415787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508415787 |
| Entity Type | Organization |
| Organization Name | SNH DERBY TENANT LLC |
| Practice Address |
690 Mason Headley Rd Lexington KY 40504-2384 |
| Mailing Address |
255 Washington St Ste 300 Newton MA 02458-1634 |
| Practice Telephone | 8592789080 |
| Practice Fax Number | 8592762198 |
| Mailing Telephone | 6177968350 |
| Enumeration Date | 2019-09-10 |
| 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 DERBY 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 |
|---|---|
| Lafayette at Country Place | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1326698234 | Snh Derby Tenant LLC | Assisted Living Facility | 700 Mason Headley Rd, Lexington, KY 40504-2326 | 2019-09-13 |
| 1275182453 | Snh Derby Tenant LLC | Assisted Living Facility | 200 Brookside Dr, Louisville, KY 40243-1200 | 2019-09-10 |
| 1780233973 | Snh Derby Tenant LLC | Assisted Living Facility | 4190 Lafayette Rd, Hopkinsville, KY 42240-5366 | 2019-09-10 |
| 1134778327 | Snh Derby Tenant LLC | Assisted Living Facility | 1700 Elmdale Rd, Paducah, KY 42003-5517 | 2019-09-10 |
| 1881243061 | Snh Derby Tenant LLC | Assisted Living Facility | 981 Campbell Ln, Bowling Green, KY 42104-4136 | 2019-09-10 |
| 1679122865 | Snh Derby Tenant LLC | Assisted Living Facility | 100 Neighborly Way, Somerset, KY 42503-6147 | 2019-09-10 |
| Street Address |
690 MASON HEADLEY RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| 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 |
|---|---|---|---|---|
| 1508157181 | Plum Creek Care Center, Inc. | Assisted Living Facility | 1507 N Adams St, Lexington, NE 68850-1243 | 2011-04-29 |
| 1104135169 | Monarch | Assisted Living Facility | 600 Price Rd, Lexington, NC 27295-1304 | 2010-09-24 |
| 1114258803 | Peoples Residential Care, LLC | Assisted Living Facility | 120 Addy Ln, Lexington, SC 29072-3405 | 2010-01-20 |
| 1518173830 | Bristol Care, Inc. | Assisted Living Facility | 2615 Main St, Lexington, MO 64067-1974 | 2007-05-15 |
| 1083734297 | Youville Place, Inc | Assisted Living Facility | 10 Pelham Rd, Suite 2000, Lexington, MA 02421-8400 | 2007-03-30 |
| 1063530467 | Northside Haven Association, Inc. | Assisted Living Facility | 50 Patton Place Rd, Lexington, MS 39095-5851 | 2007-03-26 |
| 1871610659 | Lexington Senior Living LLC | Assisted Living Facility | 1811 Ridgeway Dr, Lexington, NE 68850-1188 | 2007-03-25 |
| 1952434318 | Brookstone Retirement Ctr.,llc. | Assisted Living Facility | 2968 Old Salisbury Rd, Lexington, NC 27295-7293 | 2007-03-14 |
| 1568527554 | Southern Assisted Living, LLC. | Assisted Living Facility | 161 Young Dr, Lexington, NC 27292-4435 | 2006-12-27 |
| 1477649283 | Southland Homes, Inc | Assisted Living Facility | 294 Old Nc Highway 109, Lexington, NC 27292-9401 | 2006-10-05 |
| Find all providers in LEXINGTON | ||||
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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.