FIVE STAR TUCSON FORUM LLC


Address: 2500 N Rosemont Blvd, Tucson, AZ 85712-2167
Phone: 5203254800

FIVE STAR TUCSON FORUM LLC (NPI# 1457304404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457304404
Entity Type Organization
Organization Name FIVE STAR TUCSON FORUM LLC
Other Organization Name THE HEALTH CARE CENTER AT THE FORUM AT TUCSON
Practice Address 2500 N Rosemont Blvd
Tucson
AZ 85712-2167
Practice Telephone 5203254800
Practice Fax Number 5203194076
Mailing Telephone 5203254800
Mailing Fax Number 5203194076
Enumeration Date 2006-05-19
Last Update Date 2019-03-28
Authorized Official Name KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6177968387
Is Organization Subpart Y
Parent Organization Name FIVE STAR TUCSON FORUM LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility NCI419 AZ Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Health Care Center At The Forum At Tucson Doing Business As Name - Organization

Office Location

Street Address 2500 N ROSEMONT BLVD
City TUCSON
State AZ
Zip Code 85712-2167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639726896 Snh Az Tenant LLC Assisted Living Facility 2500 N Rosemont Blvd, Tucson, AZ 85712-2167 2019-08-22
1023020039 Gail Abbey Occupational Therapist 2500 N Rosemont Blvd, Tucson, AZ 85712-2167 2006-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871104950 Nancy Rae Klug Registered Nurse 2380 N Ferguson Ave., Tucson, AZ 85712 2020-08-12
1013525534 James Tutu Fiske I Nurse Practitioner 5700 E. Pima Street Suite C., Tucson, AZ 85712 2020-07-21
1063031953 Mehera Tiffanie Hormuz Student in an Organized Health Care Education/Training Program 5301 E. Grant Rd., Tucson, AZ 85712 2020-04-10
1770133282 Elizabeth Nadeschzda Lowell Nurse Practitioner 4881 E Grant Road, Suite 101, Tucson, AZ 85712 2019-09-17
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1558925644 Helen Jane Lyall Registered Nurse Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 2019-04-24
1760953541 Anna Marissa Ramirez Nurse Practitioner 5170 E Glenn St Ste 160, Tucson, AZ 85712 2018-12-05
1407343841 Imran Ata Md Pllc Internal Medicine 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 2018-04-20
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023630175 P. Deanda Medical Pllc Skilled Nursing Facility 1950 W Paseo Monserrat, Tucson, AZ 85704-1329 2020-05-12
1780106765 Moc Tucson, LLC Skilled Nursing Facility 5151 East Pima Street, Tucson, AZ 85712 2017-07-12
1609307354 Tucson Hacienda River, LLC Skilled Nursing Facility 2720 E River Road, Tucson, AZ 85718 2017-03-24
1891234126 Center At Tucson, LLC Skilled Nursing Facility 5020 East Glen Street, Tucson, AZ 85712 2017-02-20
1700251238 Breanna Bergren Skilled Nursing Facility 6936 S Blueeyes Dr, Tucson, AZ 85756-5127 2015-12-09
1336444181 State of Arizona/state Dept of Finance Skilled Nursing Facility 555 East Ajo Way, Tucson, AZ 85713 2011-01-25
1649422486 Tucson Family Home Health Skilled Nursing Facility 5920 N Camino Esplendora, Tucson, AZ 85718-4508 2008-10-10
1891955837 Peoplefirst Rehabilitation Skilled Nursing Facility 5545 E Lee St, Tucson, AZ 85712-4205 2008-06-12
1952598302 Kathleen Williams Skilled Nursing Facility 13750 N Seifert Estates Dr, Tucson, AZ 85755-8654 2007-10-01
1609061878 Tucson Mather Plaza, LLC Skilled Nursing Facility 13500 N Rancho Vistoso Blvd, Attn: Accounting-tom Rios, Tucson, AZ 85755-5951 2007-09-11
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Competitor

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City TUCSON
Zip Code 85712

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Dataset Information

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.

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