# SNH NEB TENANT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SNH NEB TENANT LLC
- **Other names:** Centennial Park Retirement Village
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609423706
- **Legal business name:** SNH NEB TENANT LLC
- **Authorized official:** JENNIFER F. MINTZER (PRESIDENT & CHIEF OPERATING OFFICER)
- **Authorized official phone:** (617) 796-8350

## Contact information

- **Practice address:** 510 CENTENNIAL CIR, NORTH PLATTE, NE 69101-6586
- **Practice address phone:** (308) 534-7000
- **Practice address fax:** (308) 534-8216
- **Mailing address:** 255 WASHINGTON ST STE 300, NEWTON, MA 02458-1634
- **Mailing address phone:** (617) 796-8350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2019
- **Last updated:** 05/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | NE |