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THE FORUM AT DESERT HARBOR
NPI 1821645268
Assisted Living Facility in Peoria, AZ

Active since August 21, 2019
13840 N DESERT HARBOR DR, PEORIA, AZ 85381(623) 972-0995(623) 977-5271 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2021, Jul 30, 2021, Aug 21, 2019 (3 updates tracked since 2019).

About The Forum At Desert Harbor NPPES

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

THE FORUM AT DESERT HARBOR (NPI 1821645268) is a healthcare organization registered as an assisted living facility in Peoria, Arizona 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

NPI1821645268
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH AZ TENANT LLC
Location Address13840 N DESERT HARBOR DRPeoria, AZ 85381-3501
Mailing Address255 Washington St Ste 300Newton, MA 02458-1634 · (617) 796-8350
Phone(623) 972-0995
Fax(623) 977-5271
Organization SubpartYes
Authorized OfficialJennifer F. MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateAugust 21, 2019
Last NPPES UpdateOctober 11, 20213 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1821645268 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
13840 N DESERT HARBOR DR, Peoria, AZ 85381
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Other Names 1

Doing Business AsThe Forum At Desert Harbor

Other Providers at the Same Location NPPES 2

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

FIVE STAR DESERT HARBOR LLC
Skilled Nursing Facility
13840 N DESERT HARBOR DR
PEORIA, AZ 85381
Maricopa County (623) 972-0995
JUSTINE CAROTENUTI-RYAN PT, DPT
Physical Therapist
13840 N DESERT HARBOR DR
PEORIA, AZ 85381
Maricopa County (623) 972-0995

Frequently Asked Questions

What is SNH AZ TENANT LLC's NPI number?

The NPI number assigned to this healthcare provider is 1821645268, enumerated as an "organization" on August 21, 2019.

Where is the provider located?

The provider is located at 13840 N DESERT HARBOR DR PEORIA, AZ 85381 and the phone number is (623) 972-0995.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.