Five Star Overland Park LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N046033 Issued in KS

Legal business name

FIVE STAR OVERLAND PARK LLC

Practice address

3501 West 95TH St
Overland Park, KS 66206-2063

Phone

(913) 648-4500

Fax

(913) 648-6144

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

FIVE STAR OVERLAND PARK LLCAs 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 2

Addresses

Other names 1

• The Forum at Overland Park Doing business as

Part of

Five Star Overland Park LLC

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1154376515",
    "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": "02458",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 WEST 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662062063",
            "telephone_number": "913-648-4500",
            "fax_number": "913-648-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR OVERLAND PARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR OVERLAND PARK LLC",
        "enumeration_date": "2006-05-24",
        "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": "N046033",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N046033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Forum at Overland Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Forum at Overland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fitzgerald Chiropractic L.L.C.
• Casey Lee Fitzgerald, OT-R
• Kevin Robert Fitzgerald, DC
• James G Fitzsimmons, M.D.
• Josh Fitzwater-Burch
• Five Star Rehabilitation and Wellness Services, LLC.
• Mary Mackenzie Flachsbarth
• Hannah Flack
• Callie Flading
• Flanery Chiropractic, P.a.

• Skilled Nursing Facility in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Skilled Nursing Facility in Kansas

• 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.

Verify at the official NPI Registry.