Snh Derby Tenant LLC
NPI 1134778327ActiveOrganization· Assisted Living Facility· Paducah, KY
Assisted Living Facility in Paducah, Kentucky, registered in NPPES in September 2019, part of Snh Derby Tenant LLC. The authorized official on file is Jennifer F. Mintzer, President & Chief Operating Officer.
Overview
| NPI | 1134778327 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Snh Derby Tenant LLC |
| NPI issued | Sep 10, 2019 |
| Last updated in NPPES | May 4, 2020 |
| Certified by provider | May 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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