# FIVE STAR QUALITY CARE CA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR QUALITY CARE CA LLC
- **Other names:** Van Nuys Healthcare Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1447205117
- **Legal business name:** FIVE STAR QUALITY CARE CA LLC
- **Authorized official:** KATHERINE E. POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 6835 HAZELTINE AVE, VAN NUYS, CA 91405-3218
- **Practice address phone:** (818) 997-1841
- **Practice address fax:** (818) 893-6815
- **Mailing address:** 400 CENTRE ST, NEWTON, MA 02458-2094
- **Mailing address phone:** (617) 796-8387
- **Mailing address fax:** (617) 796-8375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000087 | CA | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 03/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC90037I | — | CA |