The Forum At Brookside

LBN: Snh Derby Tenant Llc
The Forum At Brookside is an health care organization with primary practice located at 200 Brookside Dr , Louisville KY 40243-1200. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Snh Derby Tenant Llc can be contacted via phone (502) 245-3048, or through Mintzer, Jennifer F. via phone (617) 796-8350.

Contact Information

Primary practice address
200 Brookside Dr Louisville KY 40243-1200
Phone: (502) 245-3048
Fax: (502) 244-6327
Website:
Map and Directions
Authorized official contact:
Name: Mintzer, Jennifer F.
Phone: (617) 796-8350

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1275182453
LBN Legal business name Snh Derby Tenant Llc
DBA Doing business as The Forum At Brookside
Authorized official Mintzer, Jennifer F.
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 10th, 2019
Last updated Oct 11th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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