# FIVE STAR QUALITY CARE-NE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR QUALITY CARE-NE, LLC
- **Other names:** Centennial Park Retirement Village
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114929684
- **Legal business name:** FIVE STAR QUALITY CARE-NE, LLC
- **Authorized official:** KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 510 CENTENNIAL CIRCLE, NORTH PLATTE, NE 69101-6586
- **Practice address phone:** (308) 534-7000
- **Practice address fax:** (308) 534-8216
- **Mailing address:** 400 CENTRE STREET, NEWTON, MA 02458-2094
- **Mailing address phone:** (617) 796-8387
- **Mailing address fax:** (617) 796-8375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 47-0704192/11 | NE | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | 47-0704192/00 | NE | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 03/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 47-0704192/00 | — | NE |
| 05 | — | 47-0704192/11 | — | NE |