NPIMap

Organization Active NPI

Five Star Quality Care- North Carolina, LLC

  • Alzheimer Center (Dementia Center)
  • Charlotte, NC
National Provider Identifier
1326291121
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
FIVE STAR QUALITY CARE- NORTH CAROLINA, LLC
Doing business as
HAVEN IN HIGHLAND CREEK
Practice address
6101 Clarke Creek Parkway
Charlotte, NC 28269-6238
Phone
(704) 947-8050
Fax
(704) 992-1560
NPI assigned
Oct 24, 2008
Organization subpart
Yes
Parent organization
FIVE STAR QUALITY CARE- NORTH CAROLINA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Hoagland
Title
Chief Financial Officer
Phone
(617) 796-8292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X HAL-060-055 NC
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

6101 Clarke Creek Parkway
Charlotte, NC 28269-6238

Mailing address

400 Centre Street
Newton, MA 02458
Phone (617) 796-8160

Other names 1

  • HAVEN IN HIGHLAND CREEK Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care- North Carolina LLC4 organizations share this tax ID, including this one
Part of
Five Star Quality Care- North Carolina LLC

Other organizations with this tax ID 3

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": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1326291121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "617-796-8160",
            "fax_number": "617-796-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 CLARKE CREEK PARKWAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696238",
            "telephone_number": "704-947-8050",
            "fax_number": "704-992-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE- NORTH CAROLINA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE- NORTH CAROLINA, LLC",
        "enumeration_date": "2008-10-24",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "HOAGLAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-796-8292"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NC",
            "license": "HAL-060-055",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAVEN IN HIGHLAND CREEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.