Snh Derby Tenant LLC
NPI 1275182453 · Assisted Living Facility · Louisville, KY
Snh Derby Tenant LLC is a Assisted Living Facility organization in Louisville, KY (NPI 1275182453).
Provider details
- NPI number
- 1275182453
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Snh Derby Tenant LLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Mintzer, President & Chief Operating Officer(617) 796-8350
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Other name
- The Forum at Brookside
- Other name
- The Forum at Brookside
Registry dates
- Enumerated
- 2019-09-10
- Last updated
- 2021-10-11
- Certified
- 2021-10-11
Frequently asked questions
- What is Snh Derby Tenant LLC's NPI number?
- Snh Derby Tenant LLC's National Provider Identifier (NPI) is 1275182453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Snh Derby Tenant LLC?
- Snh Derby Tenant LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Snh Derby Tenant LLC located?
- Snh Derby Tenant LLC's practice location on file with NPPES is 200 Brookside Dr, Louisville, KY 40243-1200.
- What is Snh Derby Tenant LLC's phone number?
- The practice phone number listed in the NPPES registry for Snh Derby Tenant LLC is (502) 245-3048.
- Who is the authorized official for Snh Derby Tenant LLC?
- The authorized official listed on Snh Derby Tenant LLC's NPPES record is Jennifer Mintzer, President & Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Snh Derby Tenant LLC's NPI active?
- Yes — Snh Derby Tenant LLC's NPI (1275182453) is active in the NPPES registry as of the last update on 2021-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.