Organization · Type 2 NPI

Five Star Quality Care - Obx Operator, LLC

Assisted Living Facility · Winston-Salem, NC

NPI number 1508919101 Active

Practice location

2500 Polo Ridge Ct
Winston-Salem, NC 27106

Call (336) 722-7118 Map

Fax (336) 722-9785

Mailing address

400 Centre Street
Newton, MA 02458

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	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.

8 other providers at this address

Other assisted living facility providers in Winston-Salem

Salem House of Winston-Salem, LLCAssisted Living Facility Winston-Salem, NC NPI 1063408193

See all in Winston-Salem →

NPI record

NPI: 1508919101
Entity type: Organization (Type 2)
Issued: Jan 19, 2007
Last updated: Jun 23, 2020
Status: Active
Subpart: Yes of Five Star Quality Care - Obx Operator, LLC

Other names

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Forest Heights Senior Living Community · doing business as
Forest Heights Senior Living Community · 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 1508919101

Five Star Quality Care - Obx Operator, LLC's National Provider Identifier is 1508919101, issued on Jan 19, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Winston-Salem, NC. The record was last updated on Jun 23, 2020.