SNH SE TENANT TRS, INC (NPI# 1861775603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861775603 |
| Entity Type | Organization |
| Organization Name | SNH SE TENANT TRS, INC |
| Other Organization Name | LEXINGTON MANOR AT PORT CHARLOTTE |
| Practice Address |
20480 Veterans Blvd Port Charlotte FL 33954-2264 |
| Mailing Address |
2 Newton Pl 255 Washington Street Suite 300 Newton MA 02458-1637 |
| Practice Telephone | 9417667991 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | JENNIFER F MINTZER (PRESIDENT & CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6177968350 |
| Is Organization Subpart | Y |
| Parent Organization Name | SNH SE TENANT TRS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lexington Manor at Port Charlotte | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924706 | Snh Se Tenant Trs, Inc | Assisted Living Facility | N168w22022 Main St, Jackson, WI 53037-9469 | 2020-05-27 |
| 1346523198 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 515 Tomoka Avenue, Ormond Beach, FL 32174 | 2011-09-27 |
| 1770866519 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 8080 Summit Bus. Pky, Jonesboro, GA 30236 | 2011-09-27 |
| 1518240365 | Snh Se Tenant Trs, Inc | Alzheimer Center (Dementia Center) | 1119 Pick Pocket Plantation Dr, Beaufort, SC 29902-3771 | 2011-09-27 |
| 1265720825 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 1002 E Nc Highway 54, Durham, NC 27713-2145 | 2011-07-18 |
| 1568650745 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 1208 South Military Trail, Deerfield Beach, FL 33442 | 2007-10-12 |
| 1538114012 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 17225 N Boswell Blvd, Sun City, AZ 85373-2080 | 2006-05-23 |
| 1689627077 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 2525 E First St, Fort Myers, FL 33901-2465 | 2006-05-18 |
| 1366495855 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 6001 E Thomas Rd, Scottsdale, AZ 85251-7511 | 2006-05-18 |
| 1447203641 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 45 Katherine Blvd, Palm Harbor, FL 34684-3661 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | SNH SE Tenant TRS, Inc. | 255 Washington Street, Suite 300 Two Newton Place, Newton, MA 02458-1637 |
| Virginia Business Entity | SNH SE Tenant TRS, Inc. | TWO NEWTON PLACE 255 WASHINGTON STREET, SUITE 300, NEWTON, MA 02458 |
| Street Address |
20480 VETERANS BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33954-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043740665 | Criselda Veronica Romero | Home Health Aide | 24009 Madaca Lane, Apt 104, Port Charlotte, FL 33954 | 2017-06-15 |
| 1942469234 | Johanny Vizcarrondo Colon | Physical Therapist | 24011 Madaca Lane # 108, Port Charlotte, FL 33954 | 2008-06-03 |
| 1467638163 | Qrs LLC | Clinic/Center | 17218 Toledo Blade Blvd., Unit 7, Port Charlotte, FL 33954 | 2008-01-14 |
| 1023199155 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 18500 Veterans Boulevard, Unit 4, Port Charlotte, FL 33954 | 2006-10-17 |
| 1174577290 | Karen Kalbfeld | Nurse Anesthetist, Certified Registered | 327 Kindred Blvd, Port Charlotte, FL 33954 | 2006-05-22 |
| 1518425081 | Annette Simmons | Custodial Care Facility | 1292 Dorchester St, Port Charlotte, FL 33954 | 2019-03-04 |
| 1942319744 | Lifeline Health Care of Southwest Florida, Inc. | Home Health | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2006-08-29 |
| 1154617553 | Anthony Richard La Forgia | Counselor | 630a Woodbury Dr, Port Charlotte, FL 33954-1000 | 2011-06-23 |
| 1780227199 | Sergio Pedro Castro | Behavioral Analyst | 18245 Paulson Dr Ste 113, Port Charlotte, FL 33954-1019 | 2019-10-18 |
| 1295201846 | Grissel Alfonso Gonzalez | Behavior Technician | 18245 Paulson Dr Ste 130, Port Charlotte, FL 33954-1019 | 2018-10-22 |
| Find all providers in zip 33954 | ||||
| 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 |
|---|---|---|---|---|
| 1891331427 | Bubbsh LLC | Assisted Living Facility | 370 Blarney St, Port Charlotte, FL 33954-3751 | 2019-11-19 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1841533122 | Royal Palm Retirement, LLC | Assisted Living Facility | 2500 Aaron St, Port Charlotte, FL 33952-6743 | 2013-04-04 |
| 1194090803 | Family Home Care II, Inc. | Assisted Living Facility | 1222 Zinnea St, Port Charlotte, FL 33952-1538 | 2012-03-13 |
| 1164791497 | Caring Hearts Alf | Assisted Living Facility | 21000 Midway Blvd, Port Charlotte, FL 33952-2451 | 2011-12-15 |
| 1851695399 | Family Extended Care of Punta Gorda, Inc | Assisted Living Facility | 22332 Vick St, Port Charlotte, FL 33980-2053 | 2010-12-24 |
| 1245532621 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 18440 Cochran Blvd, Port Charlotte, FL 33948-3339 | 2010-11-17 |
| 1245436773 | Port Charolette Alf, LLC | Assisted Living Facility | 18400 Cochran Blvd, Port Charlotte, FL 33948-3343 | 2007-06-22 |
| 1487282349 | Mg Port Charlotte I Subtenant LLC | Assisted Living Facility | 2500 Aaron St, Port Charlotte, FL 33952-6743 | 2020-03-27 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33954 |
Please comment or provide details below to improve the information on SNH SE TENANT TRS, INC.
| 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.