NPIMap

Organization Active NPI

Five Star Quality Care-NE, LLC

  • Assisted Living Facility
  • Omaha, NE
National Provider Identifier
1013963412
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALF050 Issued in NE
Legal business name
FIVE STAR QUALITY CARE-NE, LLC
Doing business as
Westgate Assisted Living
Practice address
3030 S 80TH St
Omaha, NE 68124-3254
Phone
(402) 391-8566
Fax
(402) 391-1033
NPI assigned
May 26, 2006
Organization subpart
Yes
Parent organization
FIVE STAR QUALITY CARE-NE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALF050 NE Primary

Addresses

Primary practice location

3030 S 80TH St
Omaha, NE 68124-3254

Mailing address

400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387

Other names 1

  • Westgate Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care - NE LLC Dba Ainsworth Care Center2 organizations share this tax ID, including this one
Part of
Five Star Quality Care - NE LLC Dba Ainsworth Care Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1013963412",
    "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",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S 80TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243254",
            "telephone_number": "402-391-8566",
            "fax_number": "402-391-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE-NE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-NE, LLC",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-03-26",
        "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": "NE",
            "license": "ALF050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westgate Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westgate Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.