OrganizationActive
Snh Indy Tenant LLC
NPI 1215666367 · Assisted Living Facility · Kokomo, IN
Provider details
- NPI number
- 1215666367
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Siedel, Cfo & Treasurer(617) 796-8350
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
603 Saint Joseph Dr
Kokomo, IN 46901-4189
Phone: (765) 868-3000
Fax: (765) 868-3084
Street-level locationGet directions
Mailing address
603 Saint Joseph Dr
Kokomo, IN 46901-4189
Other names (DBA / former)
- Doing business as
- Jefferson Manor
Registry dates
- Enumerated
- 2022-06-06
- Last updated
- 2022-06-06
- Certified
- 2022-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.