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NPI Code Detail

MEDICARE: FIVE STAR QUALITY CARE-NE LLC

MEDICARE: FIVE STAR QUALITY CARE-NE LLC
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 Facility694001NE

General Provider Information

NPI Number : 1609822089
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIVE STAR QUALITY CARE-NE LLC
Provider Business Mailing Address
First Line : 1700 FURNAS STREET
Second Line :
City : ASHLAND
State : NE
Zip : 68003-1254
Country : US
Telephone Number : 402-944-7031
Fax Number : 402-944-3211
Provider Business Practice Location Address
First Line : 1700 FURNAS STREET
Second Line :
City : ASHLAND
State : NE
Zip : 68003-1254
Country : US
Telephone Number : 402-944-7031
Fax Number : 402-944-3211
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 : 03/26/2019

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

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