SNH DERBY TENANT LLC (NPI# 1780233973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780233973 |
| Entity Type | Organization |
| Organization Name | SNH DERBY TENANT LLC |
| Practice Address |
4190 Lafayette Rd Hopkinsville KY 42240-5366 |
| Mailing Address |
255 Washington St Ste 300 Newton MA 02458-1634 |
| Practice Telephone | 2708850220 |
| Practice Fax Number | 2708876319 |
| 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 Hopkinsville | 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 |
| 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 |
| 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 |
4190 LAFAYETTE RD |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-5366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013955954 | Morningside of Hopkinsville, L.p. | Assisted Living Facility | 4190 Lafayette Rd, Hopkinsville, KY 42240-5366 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| 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 |
|---|---|---|---|---|
| 1013955954 | Morningside of Hopkinsville, L.p. | Assisted Living Facility | 4190 Lafayette Rd, Hopkinsville, KY 42240-5366 | 2006-06-03 |
| 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 |
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 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 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on SNH DERBY TENANT LLC.
| 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.