Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Snh Derby Tenant LLC

Organization Assisted Living Facility · NPI 1275182453

Snh Derby Tenant LLC is an Assisted Living Facility in Louisville, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Brookside Dr
Louisville, KY 40243-1200
Phone: (502) 245-3048
Fax: (502) 244-6327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Skilled Nursing Facility Taxonomy 314000000X

Record details

NPI number1275182453
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSnh Derby Tenant LLC
Authorized official Jennifer Mintzer — President & Chief Operating Officer · (617) 796-8350
Other names The Forum At Brookside; The Forum At Brookside
NPI enumeratedSeptember 10, 2019
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing address255 Washington St Ste 300, Newton, MA 02458-1634

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