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THE FORUM AT PARK LANE
NPI 1164079273
Assisted Living Facility in Dallas, TX

Active since August 22, 2019
7831 PARK LN, DALLAS, TX 75225(214) 369-9902(214) 373-1836 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2021, May 7, 2020, Sep 27, 2019 and 1 more (4 updates tracked since 2019).

About The Forum At Park Lane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE FORUM AT PARK LANE (NPI 1164079273) is a healthcare organization registered as an assisted living facility in Dallas, Texas and active in the NPI registry since August 2019. The organization lists Jennifer F. Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1164079273
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH LONGHORN TENANT LLC
Location Address7831 PARK LNDallas, TX 75225-2000
Mailing Address255 Washington St Ste 300Newton, MA 02458-1634 · (617) 796-8350
Phone(214) 369-9902
Fax(214) 373-1836
Organization SubpartYes
Authorized OfficialJennifer F. MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateAugust 22, 2019
Last NPPES UpdateOctober 11, 20214 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1164079273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
7831 PARK LN, Dallas, TX 75225
Open in Google Maps ↗

Other Names 2

Doing Business AsThe Forum At Park Lane
Doing Business AsHealthcare Center At The Forum At Park Lane

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2307503

The Forum At Park Lane · Dallas, TX
Expired · Jul 9, 2026
CLIA Number45D2307503
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 10, 2024
Certificate Expiration DateJuly 9, 2026
Laboratory DirectorSonia Y. Nix
Laboratory Phone(469) 571-5839
Laboratory LocationThe Forum At Park Lane7831 Park Lane, Dallas, TX 75225
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON SCHEIDLER OTR
Occupational Therapist
7831 PARK LN
DALLAS, TX 75225
Dallas County (214) 369-9902
JESSICA COOPER OTR
Occupational Therapist
7831 PARK LN
DALLAS, TX 75225
Dallas County (214) 369-9902
ANDIE BEUSTRING
Speech-Language Pathologist
7831 PARK LN
DALLAS, TX 75225
Dallas County (214) 984-5133
MR. DWAYNE KICKLIGHTER PT
Physical Therapist
7831 PARK LN
DALLAS, TX 75225
Dallas County (214) 369-9905
DR. IYABO EZIM HENSHAW PT,DPT
Physical Therapist (Orthopedic)
7831 PARK LN
DALLAS, TX 75225
Dallas County (479) 201-6041
MELISSA JOY WAINMAN PT
Physical Therapist
7831 PARK LN
DALLAS, TX 75225
Dallas County (214) 369-9905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Snh Longhorn Tenant LLC's NPI number?

The NPI number for Snh Longhorn Tenant LLC is 1164079273. It was assigned to this organization in the NPPES registry on August 22, 2019. The provider is doing business as The Forum At Park Lane and Healthcare Center at the Forum at Park Lane.

Where is Snh Longhorn Tenant LLC located?

Snh Longhorn Tenant LLC is located at 7831 Park Ln, Dallas, TX 75225. The listed phone number is (214) 369-9902.

What is Snh Longhorn Tenant LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Snh Longhorn Tenant LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.