Organization · Type 2 NPI

Five Star Crossing LLC

Skilled Nursing Facility · Indianapolis, IN

NPI number 1366407876 Active

Practice location

8505 Woodfield Crossing Blvd
Indianapolis, IN 46240-4314

Call (317) 257-7406 Map

Fax (317) 466-3094

Mailing address

400 Centre St
Newton, MA 02458

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	10-000191-2 (IN)

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…

9 other providers at this address

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NPI record

NPI: 1366407876
Entity type: Organization (Type 2)
Issued: Apr 18, 2006
Last updated: Mar 28, 2019
Status: Active
Subpart: Yes of Five Star Crossing LLC

Other names

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Forum at the Crossing · doing business as
Forum at the Crossing · 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 1366407876

Five Star Crossing LLC's National Provider Identifier is 1366407876, issued on Apr 18, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 28, 2019.