Organization · Type 2 NPI

Five Star Quality Care-Tx, LLC

Assisted Living Facility · San Antonio, TX

NPI number 1407166143 Active

Practice location

511 Knights Cross Dr
San Antonio, TX 78258-3339

Call (210) 404-9005 Map

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed
Alzheimer Center (Dementia Center)	311500000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2 other providers at this address

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NPI record

NPI: 1407166143
Entity type: Organization (Type 2)
Issued: Oct 15, 2010
Last updated: Jun 27, 2016
Status: Active
Subpart: Yes of Five Star Quality Care-Tx, LLC

Other names

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The Haven & Laurels In Stone Oak · doing business as

Authorized official

Bruce J Mackey
President & Chief Executive Officer
(617) 796-8214

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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 1407166143

Five Star Quality Care-Tx, LLC's National Provider Identifier is 1407166143, issued on Oct 15, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 27, 2016.