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NPI Code Detail

MEDICARE: FIVE STAR QUALITY CARE - NE INC

MEDICARE: FIVE STAR QUALITY CARE - NE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility534001NE

General Provider Information

NPI Number : 1700832383
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIVE STAR QUALITY CARE - NE INC
Provider Business Mailing Address
First Line : 2720 17TH AVENUE
Second Line :
City : CENTRAL CITY
State : NE
Zip : 68826-9614
Country : US
Telephone Number : 308-946-3088
Fax Number : 308-946-2068
Provider Business Practice Location Address
First Line : 2720 17TH AVENUE
Second Line :
City : CENTRAL CITY
State : NE
Zip : 68826-9614
Country : US
Telephone Number : 308-946-3088
Fax Number : 308-946-2068
Authorized Official
Title or Position : PRESIDENT & CHIEF EXECUTIVE OFFICER
Name : KATHERINE E POTTER
Credential :
Telephone Number : 617-796-8387
Provider Enumeration Date : 05/26/2006
Last Update Date : 03/28/2019

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Directions to “FIVE STAR QUALITY CARE - NE INC ” Practice Location

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