Active NPI
Five Star Woodlands LLC
Doing business as The Forum at the Woodlands
- Assisted Living Facility
- Spring, TX
National Provider Identifier
1184640757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 113136
- Legal business name
- FIVE STAR WOODLANDS LLC
- Doing business as
- The Forum at the Woodlands
- Practice address
- 5055 W Panther Creek Dr
Spring, TX 77381-3500 - Phone
- (281) 292-2600
- Fax
- (281) 292-1836
- NPI assigned
- Jul 15, 2006
- Organization subpart
- Yes
- Parent organization
- FIVE STAR WOODLANDS 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 113136 | TX | Primary |
| Assisted Living Facility | 310400000X | 113134 | TX | |
| Assisted Living Facility | 310400000X | 100813 | TX |
Addresses
Primary practice location
5055 W Panther Creek Dr
Spring, TX 77381-3500
Mailing address
400 Centre St
Newton, MA 02458-2094
Phone (617) 219-1400
Other names 1
- The Forum at the Woodlands
National Provider Directory
National Provider Directory- Part of
- Five Star Woodlands LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1184640757",
"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": "617-219-1400",
"fax_number": "617-796-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 W PANTHER CREEK DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773813500",
"telephone_number": "281-292-2600",
"fax_number": "281-292-1836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR WOODLANDS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE STAR WOODLANDS LLC",
"enumeration_date": "2006-07-15",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"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": "TX",
"license": "113136",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "113134",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "100813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Forum at the Woodlands",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Forum at the Woodlands",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.