Organization · Type 2 NPI

Five Star Quality Care-In LLC

Skilled Nursing Facility · Bloomington, IN

NPI number 1285749754 Active

Practice location

2455 Tamarack Trail
Bloomington, IN 47408-1294

Fax (812) 333-8917

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Skilled Nursing Facility Primary	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: 1285749754
Entity type: Organization (Type 2)
Issued: Aug 21, 2006
Last updated: Mar 28, 2019
Status: Active
Subpart: Yes of Five Star Quality Care-In LLC

Other names

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Meadowood Health Pavilion · doing business as
Meadowood Health Pavilion · 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 1285749754

Five Star Quality Care-In LLC's National Provider Identifier is 1285749754, issued on Aug 21, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bloomington, IN. The record was last updated on Mar 28, 2019.