SNH DERBY TENANT LLC (NPI# 1760031959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760031959 |
| Entity Type | Organization |
| Organization Name | SNH DERBY TENANT LLC |
| Practice Address |
1517 West Broadway Street Mayfield KY 42066 |
| Mailing Address |
255 Washington St Ste 300 Newton MA 02458-1634 |
| Practice Telephone | 2702510233 |
| Practice Fax Number | 2702517159 |
| 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 |
|---|---|
| Morningside of Mayfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508415787 | Snh Derby Tenant LLC | Assisted Living Facility | 690 Mason Headley Rd, Lexington, KY 40504-2384 | 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 |
1517 WEST BROADWAY STREET |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| 1730320326 | S.e.w. Enterprises, Inc. | Pharmacy | 317 West Broadway, Mayfield, KY 42066 | 2009-03-12 |
| Find all providers in zip 42066 | ||||
| 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 |
|---|---|---|---|---|
| 1205874724 | Morningside of Kentucky, Limited Partnership | Assisted Living Facility | 1517 W Broadway St, Mayfield, KY 42066-1927 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814868 | Renaissance Shelbyville Partners 1, LLC | Assisted Living Facility | 156 Haven Hill Rd, Shelbyville, KY 40065-8752 | 2020-09-08 |
| 1154935617 | Kenton Pointe LLC | Assisted Living Facility | 1455 Kenton Pointe Way, Maysville, KY 41056-1195 | 2020-09-02 |
| 1508415787 | Snh Derby Tenant LLC | Assisted Living Facility | 690 Mason Headley Rd, Lexington, KY 40504-2384 | 2019-09-10 |
| 1396302113 | English Station Opco, LLC | Assisted Living Facility | 13700 English Villa Dr, Louisville, KY 40245-3938 | 2019-05-28 |
| 1194236315 | Arndrea Lasha Gooch | Assisted Living Facility | 502 Breckenridge St, Franklin, KY 42134-1204 | 2017-10-15 |
| 1366978538 | Regency Memory Care | Assisted Living Facility | 130 Sterling Way, Mount Sterling, KY 40353 | 2017-05-10 |
| 1588104319 | Morningside of Kentucky, L.p. | Assisted Living Facility | 100 Neighborly Way, Somerset, KY 42503-6147 | 2017-02-27 |
| 1003363300 | The Lakes of Paducah, LLC | Assisted Living Facility | 2265 Olivet Church Rd, Paducah, KY 42001-9769 | 2016-09-02 |
| 1184043945 | Gaither Suites At West Park | Assisted Living Facility | 4960 Village Square Dr, Paducah, KY 42001-7490 | 2014-04-09 |
| 1366879959 | Oaklawn Development Operations, LLC | Assisted Living Facility | 100 Shelby Station Dr, Louisville, KY 40245-4734 | 2013-09-27 |
| Find all providers with the same taxonomy | ||||
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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.