FS Tenant Pool III Trust

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FS TENANT POOL III TRUST

Practice address

777 North Post Oak Road
Houston, TX 77024

Phone

(713) 956-0732

Fax

(713) 956-0732

NPI assigned

Apr 19, 2006

Organization subpart

Yes

Parent organization

FS TENANT POOL III 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

Presdient & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 3

Addresses

Other names 1

• The Forum at Memorial Woods Doing business as

Tax ID family

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

Part of

FS Tenant Pool III Trust

Other organizations with this tax ID 1

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

• FS Tenant Pool III Trust

  • Skilled Nursing Facility
  • Deerfield, FL
  • NPI 1710930870
  NPD tax ID

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1508821059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "617-796-8160",
            "fax_number": "617-796-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NORTH POST OAK ROAD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-956-0732",
            "fax_number": "713-956-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS TENANT POOL III TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FS TENANT POOL III TRUST",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESDIENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "110072",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Forum at Memorial Woods",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Forum at Memorial Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Fryar, M.ED
• James Robert Frybarger, MD
• Lori Ann Frye, HIS
• Melanie Jo Frye, NP
• FS Fis
• FSS-Houston Foot, PA
• Ft.Bend Home Health Care, Inc.
• FTF Care, Inc.
• Ftic Neuromonitoring L.P.
• FTSB Management, LLC

• Skilled Nursing Facility in Houston, TX
• Providers in Houston, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.