Forum Health Rehabilitative Services Co.

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

FORUM HEALTH REHABILITATIVE SERVICES CO.

Practice address

8747 Squires LN NE
Warren, OH 44484-1649

Phone

(330) 841-3720

Fax

(330) 841-3647

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn Titus, BSN, CRRN, CNA

Title

Vice President and Coo

Phone

(330) 841-3720

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillside Rehabilitation Hospital Doing business as

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629010251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8747 SQUIRES LN NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841649",
            "telephone_number": "330-841-3720",
            "fax_number": "330-841-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8747 SQUIRES LN NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841649",
            "telephone_number": "330-841-3720",
            "fax_number": "330-841-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM HEALTH REHABILITATIVE SERVICES CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "330-841-3720",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, CRRN, CNA"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3944816",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christa Marie Flora, PT
• Cherre L. Flynn, LISW-S
• Pamela Carlene Folman
• Kimberly Lynne Folmar, LPN
• Joseph John Fonagy Jr., D.P.M
• Forum Health Services
• Amy Foster, M.ED., CRC
• Kathleen Foster, LPN
• Shannon Monique Foster
• Maged Farouk Fouad, M.D.

• Rehabilitation Hospital in Warren, OH
• Providers in Warren, OH by specialty
• Rehabilitation Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.