Organization
FIVE STAR QUALITY CARE-NE, LLC
Active
Parent organization
FIVE STAR QUALITY CARE-NE, LLC
Other names
Centennial Park Retirement Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-NE, LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
510 CENTENNIAL CIRCLE, NORTH PLATTE, NE 69101-6586
(308) 534-7000
(308) 534-8216
Mailing address
400 CENTRE STREET, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8375
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
47-0704192/11
NE
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
47-0704192/00
NE
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-0704192/00
—
NE
05
—
47-0704192/11
—
NE
Enumeration date
08/12/2005
Last updated
03/26/2019
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