Organization · Type 2 NPI

Five Star Quality Care Ca LLC

Skilled Nursing Facility · Lancaster, CA

NPI number 1760437628 Active

Practice location

1642 W Avenue J
Lancaster, CA 93534-2814

Call (661) 942-8463 Map

Fax (661) 948-5133

Mailing address

1642 W. Avenue J
Lancaster, CA 93534-2814

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	9200000046 (CA)

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…

16 other providers at this address

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NPI record

NPI: 1760437628
Entity type: Organization (Type 2)
Issued: May 22, 2006
Last updated: Mar 22, 2019
Status: Active
Subpart: Yes of Five Star Quality Care Ca LLC

Other names

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Lancaster Health Care Center · doing business as
Lancaster Health Care Center · 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 1760437628

Five Star Quality Care Ca LLC's National Provider Identifier is 1760437628, issued on May 22, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Lancaster, CA. The record was last updated on Mar 22, 2019.