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THE FORUM AT TUCSON
NPI 1639726896
Assisted Living Facility in Tucson, AZ

Active since August 22, 2019CLIA 03D0642003 · Waiver
2500 N ROSEMONT BLVD, TUCSON, AZ 85712(520) 325-4800(520) 325-2872 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2021, Aug 22, 2019 (2 updates tracked since 2019).

About The Forum At Tucson NPPES

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

THE FORUM AT TUCSON (NPI 1639726896) is a healthcare organization registered as an assisted living facility in Tucson, Arizona and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jennifer F. Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1639726896
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH AZ TENANT LLC
Location Address2500 N ROSEMONT BLVDTucson, AZ 85712-2167
Mailing Address255 Washington St Ste 300Newton, MA 02458-1634 · (617) 796-8350
Phone(520) 325-4800
Fax(520) 325-2872
Organization SubpartYes
Authorized OfficialJennifer F. MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateAugust 22, 2019
Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
✔ NPI 1639726896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2500 N ROSEMONT BLVD, Tucson, AZ 85712
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Forum At Tucson

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 03D0642003

Snh Az Tenant LLC Dba The Forum At Tucson · Tucson, AZ
Active · expires Aug 31, 2026
CLIA Number03D0642003
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorValerie E. Austin
Laboratory Phone(520) 325-4800
Laboratory LocationSnh Az Tenant LLC Dba The Forum At Tucson2500 N Rosemont Blvd, Tucson, AZ 85712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

GAIL ABBEY O.T.
Occupational Therapist (Gerontology)
2500 N ROSEMONT BLVD
TUCSON, AZ 85712
Pima County (520) 325-4800
KATRINA M ESCALADA OTR
Occupational Therapist
2500 N ROSEMONT BLVD
TUCSON, AZ 85712
Pima County (520) 481-6334
FIVE STAR TUCSON FORUM LLC
Skilled Nursing Facility
2500 N ROSEMONT BLVD
TUCSON, AZ 85712
Pima County (520) 325-4800
LANA JOY CARR
Occupational Therapist
2500 N ROSEMONT BLVD
TUCSON, AZ 85712
Pima County (520) 325-4800

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 Az Tenant LLC's NPI number?

The NPI number for Snh Az Tenant LLC is 1639726896. It was assigned to this organization in the NPPES registry on August 22, 2019. The provider is doing business as The Forum At Tucson.

Where is Snh Az Tenant LLC located?

Snh Az Tenant LLC is located at 2500 N Rosemont Blvd, Tucson, AZ 85712. The listed phone number is (520) 325-4800.

What is Snh Az Tenant LLC's specialty?

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

Does Snh Az Tenant LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0642003) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Snh Az Tenant LLC was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.