Forum At Deer Creek

LBN: Fs Tenant Pool Iii Trust
Forum At Deer Creek is an health care organization with primary practice located at 3001 Deer Creek Country Club Blvd , Deerfield Beach FL 33442-8438. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Fs Tenant Pool Iii Trust can be contacted via phone (954) 698-6269, or through Potter, Katherine E via phone (617) 796-8387.

Contact Information

Primary practice address
3001 Deer Creek Country Club Blvd Deerfield Beach FL 33442-8438
Phone: (954) 698-6269
Fax: (954) 428-3074
Website:
Map and Directions
Authorized official contact:
Name: Potter, Katherine E
Phone: (617) 796-8387

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Florida

Profile Details

NPI number 1508934829
LBN Legal business name Fs Tenant Pool Iii Trust
DBA Doing business as Forum At Deer Creek
Authorized official Potter, Katherine E
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 4th, 2006
Last updated Mar 27th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508934829 NPPES
Florida MEDICAID SNF1162096
Florida MEDICAID 025348100

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