FS Leisure Park Tenant Trust

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FS LEISURE PARK TENANT TRUST

Practice address

1400 Route 70
Lakewood, NJ 08701-5949

Phone

(732) 370-0444

NPI assigned

Jul 10, 2015

Organization subpart

Yes

Parent organization

FS LEISURE PARK TENANT 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

• Leisure Park Doing business as

Part of

FS Leisure Park Tenant Trust

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1447634266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015949",
            "telephone_number": "732-370-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS LEISURE PARK TENANT TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FS LEISURE PARK TENANT TRUST",
        "enumeration_date": "2015-07-10",
        "last_updated": "2019-03-26",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leisure Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leisure Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Friendly Care ABA Services LLC
• Nechie Frischman, MS SPED
• Nechama Frommer, RDN
• Lea Fruchter
• Rochelle Michaela Frumkin, DMD
• FS Leisure Park Tenant Trust
• Naomi Fuchs
• Jessica Fudala, LCSW
• Tanya Fuentes, BCBA, LBA
• Hilary Fuirita, PA

• Assisted Living Facility in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.