FS TENANT POOL III TRUST (NPI# 1710930870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710930870 |
| Entity Type | Organization |
| Organization Name | FS TENANT POOL III TRUST |
| Other Organization Name | DBA - THE FORUM AT DEER CREEK |
| Practice Address |
3001 Deer Creek Blvd Deerfield FL 33442 |
| Mailing Address |
400 Centre Street Newton MA 02458 |
| Practice Telephone | 9546986269 |
| Practice Fax Number | 9544283074 |
| Mailing Telephone | 6177968160 |
| Mailing Fax Number | 6177968375 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-03-27 |
| Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FS TENANT POOL III TRUST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | SNF1162096 | FL | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| DBA - The Forum at Deer Creek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508934829 | Fs Tenant Pool IIi Trust | Assisted Living Facility | 3001 Deer Creek Country Club Blvd, Deerfield Beach, FL 33442-8438 | 2006-12-04 |
| 1962467415 | Fs Tenant Pool IIi Trust | Skilled Nursing Facility | 7831 Park Lane, Dallas, TX 75225-2000 | 2006-04-19 |
| 1154386605 | Fs Tenant Pool IIi Trust | Assisted Living Facility | 4590 Knightsbridge Blvd, Columbus, OH 43214-4327 | 2006-04-19 |
| 1508821059 | Fs Tenant Pool IIi Trust | Assisted Living Facility | 777 North Post Oak Road, Houston, TX 77024 | 2006-04-19 |
| Street Address |
3001 DEER CREEK BLVD |
| City | DEERFIELD |
| State | FL |
| Zip Code | 33442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| 1194203810 | Advance Urgent Care | Clinic/Center | 1827 W Hillsboro Blvd, Suite A, Deerfield Beach, FL 33442 | 2018-08-03 |
| 1972096410 | Michael Roy Turner | Nurse Anesthetist, Certified Registered | 2162 Woodlands Way, Deerfield Beach, FL 33442 | 2018-06-09 |
| 1306397187 | Michael Ovad | Behavioral Analyst | 1239 E Newport Center Dr #101, Deerfield Beach, FL 33442 | 2016-10-17 |
| 1285187831 | Lasting Purpose LLC | Chiropractor | 1365 South Military Trail, Deerfield Beach, FL 33442 | 2016-08-01 |
| 1144683525 | Jennifer Garcia | Physical Therapy Assistant | 2259-a W. Hillsboro Road, Deerfield Beach, FL 33442 | 2016-04-01 |
| 1972982635 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 3321 W. Hillsboro Blvd, Deerfield Beach, FL 33442 | 2015-05-27 |
| 1205213741 | Deerfield Family Dentistry | Dentist | 1369 S Military Trail, Deerfield Beach, FL 33442 | 2015-05-05 |
| 1952792707 | Bocacare Inc | Clinic/Center | 3313 W Hillsboro Blvd Ste 100, Deerfield Bch, FL 33442 | 2015-02-16 |
| 1689927600 | Phuong Anh Tran | Physical Therapist | 2259-a W. Hillsboro Blvd., Deerfield Beach, FL 33442 | 2012-10-16 |
| Find all providers in zip 33442 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801991161 | Whitehall North, L.L.C. | Skilled Nursing Facility | 300 Waukegan Rd, Deerfield, IL 60015-4908 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444708 | Center for Comprehensive Services, Inc. | Skilled Nursing Facility | 2411 Clement Rd, Lutz, FL 33549-5552 | 2020-10-16 |
| 1114530227 | Jupiter Rehab and Health Center LLC | Skilled Nursing Facility | 650 Pioneer Rd # 5, Jupiter, FL 33458-8834 | 2020-08-28 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1043822349 | Oaks of Kissimmee Operations LLC | Skilled Nursing Facility | 320 N. Mitchell St, Kissimmee, FL 34741-4447 | 2020-08-18 |
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1740800655 | Javara Troupe | Skilled Nursing Facility | 10043 Victory Gallop Loop, Ruskin, FL 33573-6744 | 2020-04-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1053944116 | Pruitthealth - Southwood, LLC | Skilled Nursing Facility | 2301 Bluff Oak Way, Tallahassee, FL 32311-6161 | 2020-02-18 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.