Five Star Quality Care-Ia Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

770799 Issued in IA

Legal business name

FIVE STAR QUALITY CARE-IA INC

Doing business as

Union Park Health Services

Practice address

2401 East 8TH Street
Des Moines, IA 50316-1717

Phone

(515) 262-9303

Fax

(515) 262-2506

NPI assigned

May 24, 2006

Last updated

Mar 26, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR QUALITY CARE-IA INCAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Union Park Health Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Five Star Quality Care-Ia Inc

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1114972577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 EAST 8TH STREET",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161717",
            "telephone_number": "515-262-9303",
            "fax_number": "515-262-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 EAST 8TH STREET",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161717",
            "telephone_number": "515-262-9303",
            "fax_number": "515-262-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE-IA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-IA INC",
        "enumeration_date": "2006-05-24",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "770799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805408",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Park Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Union Park Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas J Fitzgerald, R.PH
• Kathleen Fitzgerald, ARNP
• Nicole Anne Fitzgerald, D.C.
• Elizabeth D Fitzpatrick
• Emma Fitzpatrick, LMSW
• Kimberly Ann Flagor
• Emily L Flahive, CNM
• Hannah Rose Flanegin, LISW
• Abby Flannagan, DO
• Jamie Leigh Flatness, M.A., CCC-SLP

• Skilled Nursing Facility in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Skilled Nursing Facility in Iowa

• 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.
• 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.

Verify at the official NPI Registry.