# FIVE STAR QUALITY CARE-IN LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR QUALITY CARE-IN LLC
- **Other names:** Meadowood Health Pavilion
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285749754
- **Legal business name:** FIVE STAR QUALITY CARE-IN LLC
- **Authorized official:** KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 2455 TAMARACK TRAIL, BLOOMINGTON, IN 47408-1294
- **Practice address phone:** (812) 336-7060
- **Practice address fax:** (812) 333-8917
- **Mailing address:** 2455 TAMARACK TRAIL, BLOOMINGTON, IN 47408-1294
- **Mailing address phone:** (812) 336-7060
- **Mailing address fax:** (812) 333-8917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 03/28/2019