FS Tenant Pool IV Trust

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7475 Issued in FL

Legal business name

FS TENANT POOL IV TRUST

Doing business as

Springwood Court

Practice address

12780 Kenwood LN
Fort Myers, FL 33907-5605

Phone

(239) 278-0078

Fax

(239) 278-4598

NPI assigned

Jul 15, 2006

Organization subpart

Yes

Parent organization

FS TENANT POOL IV TRUSTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine E Potter

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• Springwood Court Doing business as

Tax ID family

FS Tenant Pool IV Trust2 organizations share this tax ID, including this one

Part of

FS Tenant Pool IV Trust

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• FS Tenant Pool I Trust

  • Assisted Living Facility
  • Wilmington, DE
  • NPI 1740358050
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1245256700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 KENWOOD LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075605",
            "telephone_number": "239-278-0078",
            "fax_number": "239-278-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS TENANT POOL IV TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FS TENANT POOL IV TRUST",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springwood Court",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springwood Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Frost
• Karen A Frost, APRN
• Joshua Fry, ARNP
• Malorie Nicole Fry, MS, RD
• Olivia Fry, RMHCI
• FSQ the Palms at Fort Myers LLC
• Ft Myers Alf BSLC LLC
• Ft Myers Dental Service PA
• Ft Myers Digestive Health and Pain ASC LLC
• Ft Myers FL Ophthalmology ASC LLC

• Assisted Living Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.