Active NPI
Five Star Savannah Square LLC
Doing business as Savannah Square Health Center
- Assisted Living Facility
- Savannah, GA
National Provider Identifier
1417943028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FIVE STAR SAVANNAH SQUARE LLC
- Doing business as
- Savannah Square Health Center
- Practice address
- 1 Savannah Square Dr
Savannah, GA 31406-6755 - Phone
- (912) 927-7550
- Fax
- (912) 921-8150
- NPI assigned
- Sep 20, 2005
- Organization subpart
- Yes
- Parent organization
- FIVE STAR SAVANNAH SQUARELLC
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Skilled Nursing Facility | 314000000X | 10251158 | GA |
Addresses
Primary practice location
1 Savannah Square Dr
Savannah, GA 31406-6755
Mailing address
400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387
Other names 1
- Savannah Square Health Center
National Provider Directory
National Provider Directory- Part of
- Five Star Savannah Square LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1417943028",
"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": "617-796-8387",
"fax_number": "617-796-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAVANNAH SQUARE DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314066755",
"telephone_number": "912-927-7550",
"fax_number": "912-921-8150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR SAVANNAH SQUARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE STAR SAVANNAH SQUARELLC",
"enumeration_date": "2005-09-20",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"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": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "10251158",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Savannah Square Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Savannah Square Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Savannah, GA
- Lori Sue Fisher, MSN, FNP-C
- David Lauren Fitzgerald Jr., LAPC
- Hannah McKee Fitzgerald, LAPC
- Shay L Fitzgerald, SLP
- Five Star Rehabilitation and Wellness Services, LLC (Ageility Physical Therapy Solutions at Savannah Square)
- Regan Flagg, DO
- James L Flanagan, LPC
- Sally Lanier Flanagan, LICENSED PROFESSIONA
- Hugh Dorsey Flanders, MD
- Flawless Testing Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.