Organization · Type 2 NPI

FS Tenant Pool III Trust

Skilled Nursing Facility · Deerfield Beach, FL

NPI number 1508934829 Active

Practice location

3001 Deer Creek Country Club Blvd
Deerfield Beach, FL 33442-8438

Fax (954) 428-3074

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Skilled Nursing Facility Primary	314000000X	None listed

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 r…

2 other providers at this address

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NPI record

NPI: 1508934829
Entity type: Organization (Type 2)
Issued: Dec 4, 2006
Last updated: Mar 27, 2019
Status: Active
Subpart: Yes of FS Tenant Pool III Trust

Other names

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Forum at Deer Creek · doing business as
Forum at Deer Creek · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508934829

FS Tenant Pool III Trust's National Provider Identifier is 1508934829, issued on Dec 4, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Deerfield Beach, FL. The record was last updated on Mar 27, 2019.