FORUM AT DEER CREEK
NPI 1508934829
Skilled Nursing Facility in Deerfield Beach, FL

Active since December 04, 2006CLIA 10D0884060 · Waiver
3001 DEER CREEK COUNTRY CLUB BLVD, DEERFIELD BEACH, FL 33442(954) 698-6269(954) 428-3074 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forum At Deer Creek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORUM AT DEER CREEK (NPI 1508934829) is a healthcare organization registered as a skilled nursing facility in Deerfield Beach, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Katherine E Potter, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1508934829
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFS TENANT POOL III TRUST
Location Address3001 DEER CREEK COUNTRY CLUB BLVDDeerfield Beach, FL 33442-8438
Mailing Address3001 Deer Creek Country Club BlvdDeerfield Beach, FL 33442-8438 · (954) 698-6269 · Fax (954) 428-3074
Fax(954) 428-3074
Organization SubpartYes
Authorized OfficialKatherine E PotterPresident & Chief Executive Officer · (617) 796-8387
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 27, 2019
NPI 1508934829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
Also ListedAssisted Living FacilityTaxonomy 310400000X
3001 DEER CREEK COUNTRY CLUB BLVD, Deerfield Beach, FL 33442

Other Names 1

Doing Business AsForum At Deer Creek

Other Identifiers 2

MedicaidSNF1162096FL
Medicaid025348100FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0884060

Forum At Deer Creek · Deerfield Beach, FL
Active · expires Mar 23, 2028
CLIA Number10D0884060
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorTricia Forster
Laboratory Phone(954) 698-6269
Laboratory LocationForum At Deer Creek3001 Deer Creek Country Club Blvd, Deerfield Beach, FL 33442
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3001 DEER CREEK COUNTRY CLUB BLVD
DEERFIELD BEACH, FL 33442
Occupational Therapist
3001 DEER CREEK COUNTRY CLUB BLVD
DEERFIELD BEACH, FL 33442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fs Tenant Pool III Trust's NPI number?

The NPI number for Fs Tenant Pool III Trust is 1508934829. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Forum At Deer Creek.

Where is Fs Tenant Pool III Trust located?

Fs Tenant Pool III Trust is located at 3001 Deer Creek Country Club Blvd, Deerfield Beach, FL 33442. The listed phone number is (954) 698-6269.

What is Fs Tenant Pool III Trust's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fs Tenant Pool III Trust hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0884060) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fs Tenant Pool III Trust was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.