Forum Green, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N4202 Issued in AL

Legal business name

FORUM GREEN, INC.

Doing business as

Senior Rehab & Recovery at Limestone Health Facility

Practice address

1600 West Hobbs Street
Athens, AL 35611

Phone

(256) 232-3461

Fax

(256) 232-1767

NPI assigned

Jul 19, 2006

Last updated

Feb 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David A. Hunt

Title

Administrator

Phone

(256) 232-3461

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Senior Rehab & Recovery at Limestone Health Facility Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1851310940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEST HOBBS STREET",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35611",
            "telephone_number": "256-232-3461",
            "fax_number": "256-232-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WEST HOBBS STREET",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35611",
            "telephone_number": "256-232-3461",
            "fax_number": "256-232-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM GREEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-232-3461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "475670",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "N4202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475670",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Rehab & Recovery at Limestone Health Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Athens, AL
• Providers in Athens, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.