Active NPI
Five Star Quality Care-KS, LLC
- Skilled Nursing Facility
- Lawrence, KS
National Provider Identifier
1093798373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N023009
- Legal business name
- FIVE STAR QUALITY CARE-KS, LLC
- Practice address
- 1501 Inverness Drive
Lawrence, KS 66047-1870 - Phone
- (785) 838-8000
- Fax
- (785) 838-8001
- NPI assigned
- Nov 21, 2005
- Organization subpart
- No
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | N023009 | KS | |
| Assisted Living Facility | 310400000X | |||
| Alzheimer Center (Dementia Center) | 311500000X | N023009 | KS | |
| Skilled Nursing Facility | 314000000X | N023009 | KS | Primary |
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
1501 Inverness Drive
Lawrence, KS 66047-1870
Mailing address
1501 Inverness Drive
Lawrence, KS 66047-1870
Phone (785) 838-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200629080A | Medicaid | KS |
Other names 1
- Brandon Woods at Alvamar
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Skilled Nursing Facility
- Ellinwood, KS
- NPI 1043265325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553731200000",
"number": "1093798373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 INVERNESS DRIVE",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660471870",
"telephone_number": "785-838-8000",
"fax_number": "785-838-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 INVERNESS DRIVE",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660471870",
"telephone_number": "785-838-8000",
"fax_number": "785-838-8001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR QUALITY CARE-KS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2019-03-28",
"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": "KS",
"license": "N023009",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "KS",
"license": "N023009",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N023009",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200629080A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brandon Woods at Alvamar",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Brandon Woods at Alvamar",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.