DBA - THE FORUM AT DEER CREEK – NPI #1710930870
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.

DBA - THE FORUM AT DEER CREEK is a skilled nursing facility (SNF) located in ORLANDO, FL. NPPES has assigned the NPI number 1710930870 to DBA - THE FORUM AT DEER CREEK on May 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA - THE FORUM AT DEER CREEK” is a dba name, the actual legal business name for this organization is FS TENANT POOL III TRUST. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 7 years ago on Mar 27, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA - THE FORUM AT DEER CREEK below.

NPI Profile for
FS TENANT POOL III TRUST

NPI Number
1710930870
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FS TENANT POOL III TRUST
Doing Business As (dba): DBA - THE FORUM AT DEER CREEK
Primary location
3001 DEER CREEK BLVD
ORLANDO, FL 33442
Phone: (954) 698-6269 Fax: (954) 428-3074
Mailing address
400 CENTRE STREET
NEWTON, MA 02458
Phone: (617) 796-8160 Fax: (617) 796-8375
Organization Subpart
Yes - DBA - THE FORUM AT DEER CREEK is subpart of another organization.
Authorized Official
KATHERINE POTTER
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone: (617) 796-8387
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
310400000X
- Assisted Living Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.