Organization
FIVE STAR QUALITY CARE-KS LLC
Active
Parent organization
FIVE STAR QUALITY CARE-KS LLC
Other names
Woodhaven Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-KS LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
510 W 7TH ST, ELLINWOOD, KS 67526-1101
(620) 564-2337
(620) 564-3527
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8375
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N005004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104-1963501
—
KS
Enumeration date
05/24/2006
Last updated
03/28/2019
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