FIVE STAR KNIGHTSBRIDGE, LLC (NPI# 1700945920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700945920 |
| Entity Type | Organization |
| Organization Name | FIVE STAR KNIGHTSBRIDGE, LLC |
| Other Organization Name | HEALTHCARE CENTER AT THE FORUM |
| Practice Address |
4590 Knightsbridge Blvd Columbus OH 43214-4326 |
| Practice Telephone | 6144516793 |
| Practice Fax Number | 6142732450 |
| Mailing Telephone | 6144516793 |
| Mailing Fax Number | 6142732450 |
| Enumeration Date | 2006-12-06 |
| 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 KNIGHTSBRIDGE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Healthcare Center at the Forum | Doing Business As Name - Organization |
| Street Address |
4590 KNIGHTSBRIDGE BLVD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154386605 | Fs Tenant Pool IIi Trust | Assisted Living Facility | 4590 Knightsbridge Blvd, Columbus, OH 43214-4327 | 2006-04-19 |
| 1548876071 | Danielle Roberts | Dietitian, Registered | 4590 Knightsbridge Blvd, Columbus, OH 43214-4327 | 2020-09-21 |
| 1790332088 | Snh Ohio Tenant LLC | Assisted Living Facility | 4590 Knightsbridge Blvd, Columbus, OH 43214-4327 | 2019-08-21 |
| 1861953929 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 4590 Knightsbridge Blvd, Columbus, OH 43214-4327 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| 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 |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1760927677 | Monalisa E Banda | Skilled Nursing Facility | 2410 Hannaway Ln, Columbus, OH 43229-6803 | 2016-12-31 |
| 1447673207 | Millennium Home Health Care, Inc. | Skilled Nursing Facility | 4207 Westview Center Plz, Columbus, OH 43228-2975 | 2014-01-30 |
| 1245653302 | Columbus Health Care, Inc. | Skilled Nursing Facility | 4715 38th St, Columbus, NE 68601-1622 | 2014-01-27 |
| 1225459423 | Chelsea English | Skilled Nursing Facility | 1311 18th Ave Apt A, Columbus, GA 31901-3883 | 2013-12-16 |
| 1912338567 | Perry L Foster | Skilled Nursing Facility | 1652 Old Henderson Rd, Columbus, OH 43220-3618 | 2013-12-09 |
| 1417398959 | Focus Staff | Skilled Nursing Facility | 277 Woodland Ave, Columbus, OH 43203-1747 | 2013-07-12 |
| 1790027340 | Ohio Aging Services Network | Skilled Nursing Facility | 17 S. High St., Suite 1000, Columbus, OH 43215-3481 | 2013-03-21 |
| 1639314982 | West Wharton County Hospital District | Skilled Nursing Facility | 1511 Montezuma Street, Columbus, TX 78934-2122 | 2008-12-15 |
| 1023271392 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 2770 Clime Rd, Columbus, OH 43223-3626 | 2008-07-08 |
| Find all providers in COLUMBUS | ||||
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| 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.