# FIVE STAR REMINGTON CLUB LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR REMINGTON CLUB LLC
- **Other names:** Remington Club Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558317180
- **Legal business name:** FIVE STAR REMINGTON CLUB LLC
- **Authorized official:** KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 16915 HIERBA DRIVE, SAN DIEGO, CA 92128-2688
- **Practice address phone:** (858) 673-6300
- **Practice address fax:** (858) 673-6318
- **Mailing address:** 16915 HIERBA DR, SAN DIEGO, CA 92128-2681
- **Mailing address phone:** (858) 673-6300
- **Mailing address fax:** (858) 673-6318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 374601200 | CA | — |
| 314000000X | Skilled Nursing Facility | 080000303 | CA | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 03/28/2019