Active NPIOrganization

Fs Tenant Pool III Trust

Skilled Nursing Facility in Deerfield, Florida

NPI Number1710930870
Practice location
3001 Deer Creek Blvd, Deerfield, FL 33442
Fax
954-428-3074
Last updated
March 27, 2019

Fs Tenant Pool III Trust is a healthcare organization based in Deerfield, FL. Fs Tenant Pool III Trust practices in Deerfield, FL. The NPI Number for Fs Tenant Pool III Trust is 1710930870 and holds a License No. SNF1162096 (FL). The current practice location address for Fs Tenant Pool III Trust is 3001 Deer Creek Blvd, Deerfield, FL 33442 and can be reached out via phone at 954-698-6269 and via fax at 954-428-3074.

Provider Profile Details

NPI Number
1710930870
Provider Name
Fs Tenant Pool III Trust
Provider Entity Type
Organization
Address
3001 Deer Creek Blvd, Deerfield, FL 33442
Phone Number
954-698-6269
Fax Number
954-428-3074
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
Yes
Parent Organization
Fs Tenant Pool III Trust
Authorized Official
Katherine E Potter · President & Chief Executive Officer · 617-796-8387
Other Names
DBA - The Forum At Deer Creek (Doing Business As)
Provider Enumeration Date
May 18, 2006
Last Update Date
March 27, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3001 Deer Creek Blvd
Deerfield, FL 33442
State
Florida
Zip
33442
Phone Number
954-698-6269
Fax Number
954-428-3074
Deerfield, FL 33442Get directions →

Provider Business Mailing Address Details

Address
400 Centre Street
Newton, MA 02458
City
Newton
State
MA
Zip
02458
Phone Number
617-796-8160
Fax Number
617-796-8375

License Information

Taxonomy (1)
Assisted Living Facility · 310400000X
License Number (2)
SNF1162096
License State (2)
FL
Taxonomy (2)
Skilled Nursing Facility · 314000000X
Taxonomy (3)
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fs Tenant Pool III Trust?

The NPI number of Fs Tenant Pool III Trust is 1710930870. It was assigned on May 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Fs Tenant Pool III Trust?

Fs Tenant Pool III Trust is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in FL under license number SNF1162096.

Where does Fs Tenant Pool III Trust practice?

The practice location is 3001 Deer Creek Blvd, Deerfield, FL 33442. The office can be reached at 954-698-6269 (phone) or 954-428-3074 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710930870 directly on the NPPES registry website.

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