Organization · Type 2 NPI

Five Star Quality Care-Ne, LLC

Skilled Nursing Facility · North Platte, NE

NPI number 1114929684 Active

Practice location

510 Centennial Circle
North Platte, NE 69101-6586

Call (308) 534-7000 Map

Fax (308) 534-8216

Mailing address

400 Centre Street
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	47-0704192/11 (NE)
Assisted Living Facility	310400000X	None listed
Skilled Nursing Facility Primary	314000000X	47-0704192/00 (NE)
Skilled Nursing Facility	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1114929684
Entity type: Organization (Type 2)
Issued: Aug 12, 2005
Last updated: Mar 26, 2019
Status: Active
Subpart: Yes of Five Star Quality Care-Ne, LLC

Other names

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Centennial Park Retirement Village · doing business as
Centennial Park Retirement Village · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114929684

Five Star Quality Care-Ne, LLC's National Provider Identifier is 1114929684, issued on Aug 12, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in North Platte, NE. The record was last updated on Mar 26, 2019.