SNH DERBY TENANT LLC
NPI 1760031959
Assisted Living Facility in Mayfield, KY

Active since September 10, 2019
1517 WEST BROADWAY STREET, MAYFIELD, KY 42066(270) 251-0233(270) 251-7159 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2020, Sep 10, 2019 (2 updates tracked since 2019).

About Snh Derby Tenant Llc NPPES

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

SNH DERBY TENANT LLC (NPI 1760031959), doing business as Morningside Of Mayfield, is a healthcare organization registered as an assisted living facility in Mayfield, 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

NPI1760031959
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH DERBY TENANT LLC
Location Address1517 WEST BROADWAY STREETMayfield, KY 42066
Mailing Address255 Washington St Ste 300Newton, MA 02458-1634 · (617) 796-8350
Fax(270) 251-7159
Organization SubpartYes
Authorized OfficialJennifer F. MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateSeptember 10, 2019
Last NPPES UpdateMay 4, 20202 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
NPI 1760031959 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.

1517 WEST BROADWAY STREET, Mayfield, KY 42066

Other Names 1

Doing Business AsMorningside Of Mayfield

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760031959, enumerated as an "organization" on September 10, 2019.

The provider is located at 1517 WEST BROADWAY STREET MAYFIELD, KY 42066 and the phone number is (270) 251-0233.

Assisted Living Facility with taxonomy code 310400000X.