1. Home
  2. Directory
  3. Illinois
  4. Arlington Heights
  5. Assisted Living Facility
  6. NPI Profile

CHURCH CREEK
NPI 1912962796
Assisted Living Facility in Arlington Heights, IL

Active since April 18, 2006CLIA 14D0684494 · Waiver
1200 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 506-3200(847) 506-2598 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2021, Oct 18, 2018 (2 updates tracked since 2018).

About Church Creek NPPES

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

CHURCH CREEK (NPI 1912962796) is a healthcare organization registered as an assisted living facility in Arlington Heights, Illinois and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Jennifer F Mintzer, President & Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1912962796
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSNH SE TENANT TRS, INC
Location Address1200 W CENTRAL RDArlington Heights, IL 60005-2403
Mailing Address255 Washington Street, 2 Newton PlaceNewton, MA 02458 · (703) 854-0823 · Fax (703) 854-0164
Phone(847) 506-3200
Fax(847) 506-2598
Organization SubpartYes
Authorized OfficialJennifer F MintzerPresident & Chief Operating Officer · (617) 796-8350
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 11, 20212 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1912962796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 0043893 (IL)
1200 W CENTRAL RD, Arlington Heights, IL 60005
Open in Google Maps ↗

Other Names 1

Doing Business AsChurch Creek

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 14D0684494

Church Creek · Arlington Heights, IL
Active · expires Oct 1, 2026
CLIA Number14D0684494
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorValentine Mbinglo
Laboratory Phone(847) 506-3200
Laboratory LocationChurch Creek1250 West Central Road, Arlington Heights, IL 60005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JULIE M. WYSS M.S. CCC-SLP
Speech-Language Pathologist
1200 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 506-3482
JUDITH LYNN FOLEY OTR/L
Occupational Therapist
1200 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 506-3482
MS. SHEILA Y SHAFER OTR
Occupational Therapist
1200 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (630) 414-0351

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 1912962796. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as Church Creek.

Where is Snh SE Tenant Trs, Inc located?

Snh SE Tenant Trs, Inc is located at 1200 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (847) 506-3200.

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 14D0684494) is associated with this NPI, valid through October 1, 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 October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.