Forest Glen Rehabilitation and Healthcare Center LLC · Assisted Living Facility

2150 Montego Dr, Springfield, OH 45503-6464

Overview

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.

Provider Information

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

Authorized Official Information

Official Name KEVIN DAUBENMIRE
Official Title AUTHORIZED OFFICIAL
Telephone 9373909913

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y310400000XAssisted Living Facility

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Forest Glen Rehabilitation and Healthcare Center LLC 2150 Montego Dr, Springfield, OH 45503-6464Skilled Nursing Facility2024-11-25

Taxonomy Information

Primary Taxonomy

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]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Horizontal Assisting Living LLC 2021 E Dublin Granville Rd Ste 130, Columbus, OH 43229-3580Assisted Living Facility2025-01-11
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Willowbrook Heights Adult Family Home 167 Sell Ln, Richland, WA 99352-7200Assisted Living Facility2025-01-09
Tropicana Assisted Living LLC 2119 Nw 8th Ter, Cape Coral, FL 33993-7159Assisted Living Facility2025-01-10
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Florica Man 9146 W Quail Track Dr, Peoria, AZ 85383-5148Assisted Living Facility2025-01-11
Loreta E Barrera 2481 E Sierra Madre Ave, Gilbert, AZ 85296-1554Assisted Living Facility2025-01-09
Farine T Cohen 3511 Edgewood Rd, Baltimore, MD 21215-7322Assisted Living Facility2025-01-11
Mount Vernon Rcfe LLC 2225 Mt Vernon Ave, Riverside, CA 92507-2500Assisted Living Facility2025-01-11
Grace Homes LLC 6700 Egan Dr, Savage, MN 55378Assisted Living Facility2025-01-09
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Location Information

Street Address 2150 MONTEGO DR
City SPRINGFIELD
State OH
Zip Code 45503-6464
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Trilogy Healthcare Operations of Springfield, LLC · Forest Glen Health Campus 2150 Montego Drive, Springfield, OH 45503-1304Assisted Living Facility2006-11-01
Jennifer Jeannie Barbee 2150 Montego Dr, Springfield, OH 45503-6464Registered Nurse2021-08-20
Cam Phuong Nguyen 2150 Montego Dr, Springfield, OH 45503-6464Occupational Therapist2023-01-09
Melanie Lynn Woosley 2150 Montego Dr, Springfield, OH 45503-6464Physical Therapist2012-07-12
Tonya Lynn Martin 2150 Montego Dr, Springfield, OH 45503-6464Occupational Therapy Assistant2017-08-31
Barbara Ann Honnold 2150 Montego Dr, Springfield, OH 45503-6464Physical Therapy Assistant2012-10-31
Trilogy Healthcare Operations of Springfield, LLC 2150 Montego Dr, Springfield, OH 45503-6464Assisted Living Facility2021-10-18
Brittany J Lofton · Brittany Cloud 2150 Montego Dr, Springfield, OH 45503-6464Physical Therapist2023-01-25
Joel Hammond 2150 Montego Dr, Springfield, OH 45503-6464Physical Therapy Assistant2017-09-18
Jennifer Leigh Hayslip 2150 Montego Dr, Springfield, OH 45503-6464Physical Therapy Assistant2012-10-31
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Arlene Sue Brannon 1849 Granada Dr, Springfield, OH 45503Home Health Aide2007-04-26
Paulette Thomas 722 Patrick Road, Springfield, OH 45503Occupational Therapy Assistant2015-07-27
Elaine M Winter Dds Inc 914 N Limestone St, Springfield, OH 45503Dentist2007-02-27
Springfield Pediatric Dentistry 2200 Olympic Street, Springfield, OH 45503Pediatric Dentist2013-05-17
Janice Louise Foster 3131 Erter Drive, Springfield, OH 45503Home Health Aide2012-02-29
Future Plan LLC Dba Home Instead Senior Care 333 Mt Vernon Ave, Springfield, OH 45503In Home Supportive Care Agency2015-08-28
Kara Nicole Miller 2600 N. Limestone, 2nd Floor, Springfield, OH 45503Surgical Physician Assistant2007-08-17
Family Dental Care 1240 E. Main St, Springfield, OH 45503General Practice Dentistry2011-08-10
Devinder K Yakhmi 1505 N Limestone St., Springfield, OH 45503Psychiatry Physician2006-11-27
Communitys Hearth & Home Assisted Living El Camino 3185 El Camino Drive, Communitys Hearth and Home Assisted Living, Springfield, OH 45503Assisted Living Facility2007-03-02
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Provider NameAddressTaxonomyEnumeration Date
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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 33406-8901Rehabilitation Hospital Unit2010-01-04
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Dataset Information

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

Dataset Details

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.