THE FORUM AT BROOKSIDE
NPI 1275182453
Assisted Living Facility in Louisville, KY

Q: What is Snh Derby Tenant LLC's NPI number?

The NPI number for Snh Derby Tenant LLC is 1275182453. It was assigned to this organization in the NPPES registry on September 10, 2019. The provider is also known as The Forum At Brookside.

Q: What is Snh Derby Tenant LLC's specialty?

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

Active since September 10, 2019

200 BROOKSIDE DR, LOUISVILLE, KY 40243(502) 245-3048(502) 244-6327 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 4, 2020, Sep 10, 2019 (3 updates tracked since 2019).

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About The Forum At Brookside NPPES

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

THE FORUM AT BROOKSIDE (NPI 1275182453) is a healthcare organization registered as an assisted living facility in Louisville, Kentucky and active in the NPI registry since September 2019. The organization lists Jennifer F. Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1275182453

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSNH DERBY TENANT LLC

Location Address200 BROOKSIDE DRLouisville, KY 40243-1200

Mailing Address255 Washington St Ste 300Newton, MA 02458-1634 · (617) 796-8350

Phone(502) 245-3048

Fax(502) 244-6327

Organization SubpartYes

Authorized OfficialJennifer F. MintzerPresident & Chief Operating Officer · (617) 796-8350

Enumeration DateSeptember 10, 2019

Last NPPES UpdateOctober 11, 20213 updates tracked since enumeration

NPPES CertifiedOctober 11, 2021

✔ NPI 1275182453 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

200 BROOKSIDE DR, Louisville, KY 40243

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Other Names 1

Other NameThe Forum At Brookside

Other Providers at the Same Location NPPES 8

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

KARA CASEY BROWN PT

Physical Therapist