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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | NCI419 | AZ | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
The Health Care Center At The Forum At Tucson | Doing Business As Name - Organization |
Street Address |
2500 N ROSEMONT BLVD |
City | TUCSON |
State | AZ |
Zip Code | 85712-2167 |
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 |
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 |
1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
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 |
1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
Find all providers in zip 85712 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | 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. |
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. |
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 |
Find all providers in TUCSON |
Please comment or provide details below to improve the information on FIVE STAR TUCSON FORUM LLC.
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.