Forest Glen Rehabilitation and Healthcare Center LLC is a Assisted Living Facility (organization) practicing in Springfield, Ohio. The National Provider Identifier (NPI) is #1245056886, which was assigned on November 27, 2024, and the registration record was last updated on November 27, 2024. The practitioner's main practice location is at 2150 Montego Dr, Springfield, OH 45503-6464; the contact telephone number is 9373909913. The primary taxonomy of Forest Glen Rehabilitation and Healthcare Center LLC is Assisted Living Facility (310400000X). The authorized official for Forest Glen Rehabilitation and Healthcare Center LLC is Kevin Daubenmire (Authorized Official).
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
NPI | 1245056886 |
Entity Type | Organization |
Organization Name | FOREST GLEN REHABILITATION AND HEALTHCARE CENTER LLC |
Provider Name | FOREST GLEN REHABILITATION AND HEALTHCARE CENTER LLC |
Practice Address |
2150 Montego Dr Springfield OH 45503-6464 |
Practice Telephone | 9373909913 |
Mailing Address |
2150 Montego Dr Springfield OH 45503-6464 |
Certification Date | 2024-11-25 |
Enumeration Date | 2024-11-27 |
Last Update Date | 2024-11-27 |
Is Organization Subpart | N |
Official Name | KEVIN DAUBENMIRE |
Official Title | AUTHORIZED OFFICIAL |
Telephone | 9373909913 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Forest Glen Rehabilitation and Healthcare Center LLC | 2150 Montego Dr, Springfield, OH 45503-6464 | Skilled Nursing Facility | 2024-11-25 |
Code | 310400000X |
Taxonomy | Assisted Living Facility |
Classification | Assisted Living Facility |
Grouping | Nursing & Custodial Care Facilities |
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
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Street Address |
2150 MONTEGO DR |
City | SPRINGFIELD |
State | OH |
Zip Code | 45503-6464 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Trilogy Healthcare Operations of Springfield, LLC · Forest Glen Health Campus | 2150 Montego Drive, Springfield, OH 45503-1304 | Assisted Living Facility | 2006-11-01 |
Jennifer Jeannie Barbee | 2150 Montego Dr, Springfield, OH 45503-6464 | Registered Nurse | 2021-08-20 |
Cam Phuong Nguyen | 2150 Montego Dr, Springfield, OH 45503-6464 | Occupational Therapist | 2023-01-09 |
Melanie Lynn Woosley | 2150 Montego Dr, Springfield, OH 45503-6464 | Physical Therapist | 2012-07-12 |
Tonya Lynn Martin | 2150 Montego Dr, Springfield, OH 45503-6464 | Occupational Therapy Assistant | 2017-08-31 |
Barbara Ann Honnold | 2150 Montego Dr, Springfield, OH 45503-6464 | Physical Therapy Assistant | 2012-10-31 |
Trilogy Healthcare Operations of Springfield, LLC | 2150 Montego Dr, Springfield, OH 45503-6464 | Assisted Living Facility | 2021-10-18 |
Brittany J Lofton · Brittany Cloud | 2150 Montego Dr, Springfield, OH 45503-6464 | Physical Therapist | 2023-01-25 |
Joel Hammond | 2150 Montego Dr, Springfield, OH 45503-6464 | Physical Therapy Assistant | 2017-09-18 |
Jennifer Leigh Hayslip | 2150 Montego Dr, Springfield, OH 45503-6464 | Physical Therapy Assistant | 2012-10-31 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Arlene Sue Brannon | 1849 Granada Dr, Springfield, OH 45503 | Home Health Aide | 2007-04-26 |
Paulette Thomas | 722 Patrick Road, Springfield, OH 45503 | Occupational Therapy Assistant | 2015-07-27 |
Elaine M Winter Dds Inc | 914 N Limestone St, Springfield, OH 45503 | Dentist | 2007-02-27 |
Springfield Pediatric Dentistry | 2200 Olympic Street, Springfield, OH 45503 | Pediatric Dentist | 2013-05-17 |
Janice Louise Foster | 3131 Erter Drive, Springfield, OH 45503 | Home Health Aide | 2012-02-29 |
Future Plan LLC Dba Home Instead Senior Care | 333 Mt Vernon Ave, Springfield, OH 45503 | In Home Supportive Care Agency | 2015-08-28 |
Kara Nicole Miller | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | Surgical Physician Assistant | 2007-08-17 |
Family Dental Care | 1240 E. Main St, Springfield, OH 45503 | General Practice Dentistry | 2011-08-10 |
Devinder K Yakhmi | 1505 N Limestone St., Springfield, OH 45503 | Psychiatry Physician | 2006-11-27 |
Communitys Hearth & Home Assisted Living El Camino | 3185 El Camino Drive, Communitys Hearth and Home Assisted Living, Springfield, OH 45503 | Assisted Living Facility | 2007-03-02 |
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Forest Hil Rehabilitation Medical Center Inc · Forest Hill Rehabilitatiion Medical Center Inc | 1870 Forest Hill Blvd, Suite 208, West Palm Beach, FL 33406-8901 | Rehabilitation Hospital Unit | 2010-01-04 |
Trilogy Healthcare Operations of Springfield, LLC · Forest Glen Health Campus | 2150 Montego Drive, Springfield, OH 45503-1304 | Assisted Living Facility | 2006-11-01 |
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Wadsworth Glen Inc · Wadsworth Glen Health Care & Rehabilitation Center | 30 Boston Road, Middleton, CT 06457 | Skilled Nursing Facility | 2006-05-04 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |