Organization
FIVE STAR QUALITY CARE-CA II LLC
Active
Parent organization
FIVE STAR QUALITY CARE-CA II LLC
Other names
Thousand Oaks Healthcare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-CA II LLC
Authorized official
KATHERINE E. POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
93 WEST AVENIDA DE LOS ARBOLES, THOUSAND OAKS, CA 91360-2900
(805) 492-2444
(805) 241-8925
Mailing address
93 WEST AVENIDA DE LOS ARBOLES, THOUSAND OAKS, CA 91360-2900
(805) 492-2444
(805) 241-8925
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05000065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05342I
—
CA
Enumeration date
05/24/2006
Last updated
03/22/2019
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