# FIVE STAR CROSSING LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR CROSSING LLC
- **Other names:** Forum at The Crossing
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366407876
- **Legal business name:** FIVE STAR CROSSING LLC
- **Authorized official:** KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 8505 WOODFIELD CROSSING BLVD, INDIANAPOLIS, IN 46240-4314
- **Practice address phone:** (317) 257-7406
- **Practice address fax:** (317) 466-3094
- **Mailing address:** 400 CENTRE ST, NEWTON, MA 02458
- **Mailing address phone:** (617) 796-8387
- **Mailing address fax:** (617) 796-8375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 10-000191-2 | IN | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 03/28/2019