Organization · Type 2 NPI

Five Star Overland Park LLC

Skilled Nursing Facility · Overland Park, KS

NPI number 1154376515 Active

Practice location

3501 West 95th St
Overland Park, KS 66206-2063

Call (913) 648-4500 Map

Fax (913) 648-6144

Mailing address

400 Centre St
Newton, MA 02458

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	N046033 (KS)
Skilled Nursing Facility Primary	314000000X	N046033 (KS)

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…

Other skilled nursing facility providers in Overland Park

See all in Overland Park →

NPI record

NPI: 1154376515
Entity type: Organization (Type 2)
Issued: May 24, 2006
Last updated: Mar 28, 2019
Status: Active
Subpart: Yes of Five Star Overland Park LLC

Other names

<unavail>
The Forum at Overland Park · doing business as
The Forum at Overland Park · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1154376515

Five Star Overland Park LLC's National Provider Identifier is 1154376515, issued on May 24, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Overland Park, KS. The record was last updated on Mar 28, 2019.