NPIMap

Organization Active NPI

Five Star Quality Care-Obx Operator, LLC

Doing business as Sweetgrass Village Senior Living Community

  • Assisted Living Facility
  • Mount Pleasant, SC
National Provider Identifier
1437384138
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FIVE STAR QUALITY CARE-OBX OPERATOR, LLC
Doing business as
Sweetgrass Village Senior Living Community
Practice address
601 Mathis Ferry Rd
Mt Pleasant, SC 29464-2623
Phone
(843) 881-9809
NPI assigned
May 26, 2009
Organization subpart
Yes
Parent organization
FIVE STAR QUALITY CARE-OBX OPERATOR, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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 Office
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

601 Mathis Ferry Rd
Mt Pleasant, SC 29464-2623

Mailing address

400 Centre St
Newton, MA 02458-2094

Other names 1

  • Sweetgrass Village Senior Living Community Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care9 organizations share this tax ID, including this one
Part of
Five Star Quality Care

Other organizations with this tax ID 8

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": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1437384138",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MATHIS FERRY RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642623",
            "telephone_number": "843-881-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE-OBX OPERATOR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-OBX OPERATOR, LLC",
        "enumeration_date": "2009-05-26",
        "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 OFFICE",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweetgrass Village Senior Living Community",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sweetgrass Village Senior Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

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.

Verify at the official NPI Registry.