Active NPI
Five Star Quality Care-NJ, LLC
- Assisted Living Facility
- Voorhees, NJ
National Provider Identifier
1013441278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FIVE STAR QUALITY CARE-NJ, LLC
- Practice address
- 501 Laurel Oak Rd
Voorhees, NJ 08043-4418 - Phone
- (856) 566-2340
- NPI assigned
- Apr 14, 2017
- Organization subpart
- Yes
- Parent organization
- FIVE STAR QUALITY CARE-NJ, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine E Potter
- Title
- President & Chief Executive Officer
- Phone
- (617) 796-8387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
501 Laurel Oak Rd
Voorhees, NJ 08043-4418
Mailing address
400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387
Other names 1
- Voorhees Senior Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2200492 | Voorhees Senior Living | Certificate of waiver | Nov 15, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Five Star Quality Care - NJ LLC
- Part of
- Five Star Quality Care - NJ LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Mt Arlington, NJ
- NPI 1114133105
-
- Assisted Living Facility
- Cherry Hill, NJ
- NPI 1588795009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592870400000",
"number": "1013441278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CENTRE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582094",
"telephone_number": "617-796-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 LAUREL OAK RD",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434418",
"telephone_number": "856-566-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR QUALITY CARE-NJ, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-NJ, LLC",
"enumeration_date": "2017-04-14",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "617-796-8387"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Voorhees Senior Living",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Voorhees Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.