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

Snh Granite Gate Lands Tenant LLC

Organization Assisted Living Facility · NPI 1639781727

Snh Granite Gate Lands Tenant LLC is an Assisted Living Facility in Prescott, Arizona. Registered with an NPI since 2020.

In the registry since
2020
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

3850 N US Highway 89
Prescott, AZ 86301-8428
Phone: (928) 771-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1639781727
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSnh Granite Gate Lands Tenant LLC
Authorized official Jennifer Clark — President & Chief Operating Officer · (617) 796-8350
Other names Granite Gate Senior Living
NPI enumeratedAugust 19, 2020
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020
Mailing address255 Washington St Ste 300, Newton, MA 02458-1634

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