# FIVE STAR MONTEBELLO LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIVE STAR MONTEBELLO LLC
- **Other names:** The Montebello on Academy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649226028
- **Legal business name:** FIVE STAR MONTEBELLO LLC
- **Authorized official:** KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 796-8387

## Contact information

- **Practice address:** 10500 ACADEMY RD NE, ALBUQUERQUE, NM 87111-7306
- **Practice address phone:** (505) 294-9944
- **Practice address fax:** (505) 294-1808
- **Mailing address:** 10500 ACADEMY RD NE, ALBUQUERQUE, NM 87111-7306
- **Mailing address phone:** (505) 294-9944
- **Mailing address fax:** (505) 294-1808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 2001 | NM | — |
| 314000000X | Skilled Nursing Facility | 1079 | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 03/28/2019