Active NPI
Five Star Crossing LLC
Doing business as Forum at The Crossing
- Skilled Nursing Facility
- Indianapolis, IN
National Provider Identifier
1366407876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10-000191-2
- Legal business name
- FIVE STAR CROSSING LLC
- Doing business as
- Forum at The Crossing
- Practice address
- 8505 Woodfield Crossing Blvd
Indianapolis, IN 46240-4314 - Phone
- (317) 257-7406
- Fax
- (317) 466-3094
- NPI assigned
- Apr 18, 2006
- Organization subpart
- Yes
- Parent organization
- FIVE STAR CROSSING 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 10-000191-2 | IN | Primary |
Addresses
Primary practice location
8505 Woodfield Crossing Blvd
Indianapolis, IN 46240-4314
Mailing address
400 Centre St
Newton, MA 02458
Phone (617) 796-8387
Other names 1
- Forum at The Crossing
National Provider Directory
National Provider Directory- Part of
- Five Star Crossing LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553731200000",
"number": "1366407876",
"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": "8505 WOODFIELD CROSSING BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462404314",
"telephone_number": "317-257-7406",
"fax_number": "317-466-3094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR CROSSING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE STAR CROSSING LLC",
"enumeration_date": "2006-04-18",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IN",
"license": "10-000191-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forum at The Crossing",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Forum at The Crossing",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Indianapolis, IN
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- Matthew Charles Fitzpatrick
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- Five Star Limousine LLC
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- Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at Clearwater)
- Five-Star Family Transportation
- Lorena Flaa, RN
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.