1. Home
  2. Directory
  3. Georgia
  4. Jonesboro
  5. Assisted Living Facility
  6. NPI Profile

PALMS AT LAKE SPIVEY
NPI 1770866519
Assisted Living Facility in Jonesboro, GA

Active since September 27, 2011CLIA 11D2051672 · Waiver
8080 SUMMIT BUS. PKY, JONESBORO, GA 30236(770) 477-7207 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palms At Lake Spivey NPPES

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

PALMS AT LAKE SPIVEY (NPI 1770866519) is a healthcare organization registered as an assisted living facility in Jonesboro, Georgia and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Jennifer F Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1770866519
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH SE TENANT TRS, INC
Location Address8080 SUMMIT BUS. PKYJonesboro, GA 30236
Mailing Address2 Newton Pl 255 Washington Street, Suite 300Newton, MA 02458-1637
Phone(770) 477-7207
Organization SubpartYes
Authorized OfficialJennifer F MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateSeptember 27, 2011
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1770866519 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.
8080 SUMMIT BUS. PKY, Jonesboro, GA 30236
Open in Google Maps ↗

Other Names 1

Doing Business AsPalms At Lake Spivey

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 11D2051672

Palms At Lake Spivey, The · Jonesboro, GA
Active · expires Dec 25, 2026
CLIA Number11D2051672
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorMs. Tiffany Loren Amey
Laboratory Phone(770) 477-7207
Laboratory LocationPalms At Lake Spivey, The8080 Summit Business Parkway, Jonesboro, GA 30236
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 SE Tenant Trs, Inc's NPI number?

The NPI number for Snh SE Tenant Trs, Inc is 1770866519. It was assigned to this organization in the NPPES registry on September 27, 2011. The provider is doing business as Palms At Lake Spivey.

Where is Snh SE Tenant Trs, Inc located?

Snh SE Tenant Trs, Inc is located at 8080 Summit Bus. Pky, Jonesboro, GA 30236. The listed phone number is (770) 477-7207.

What is Snh SE Tenant Trs, Inc's specialty?

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

Does Snh SE Tenant Trs, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2051672) is associated with this NPI, valid through December 25, 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 SE Tenant Trs, Inc was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.