Healthcare Provider Details

I. General information

NPI: 1467408179
Provider Name (Legal Business Name): FIVE STAR QUALITY CARE - NE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 03/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 CENTENNIAL AVE
UTICA NE
68456-6094
US

IV. Provider business mailing address

1350 CENTENNIAL AVE
UTICA NE
68456-6094
US

V. Phone/Fax

Practice location:
  • Phone: 402-534-2041
  • Fax: 402-534-3546
Mailing address:
  • Phone: 402-534-2041
  • Fax: 402-534-3546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number724004
License Number StateNE

VIII. Authorized Official

Name: KATHERINE E POTTER
Title or Position: PRESIDENT & CHIEF EXECUTIVE OFFICER
Credential:
Phone: 617-796-8387