NPIMap

Organization Active NPI

Five Star Memorial Woods LLC

Doing business as The Forum at Memorial Woods Healthcare Center

  • Skilled Nursing Facility
  • Houston, TX
National Provider Identifier
1760400261
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
129232 Issued in TX
Legal business name
FIVE STAR MEMORIAL WOODS LLC
Doing business as
The Forum at Memorial Woods Healthcare Center
Practice address
777 N Post Oak Rd
Houston, TX 77024-3800
Phone
(713) 956-0732
Fax
(713) 956-0732
NPI assigned
Jul 17, 2006
Organization subpart
Yes
Parent organization
FIVE STAR MEMORIAL WOODS 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 Officer
Phone
(617) 796-8387

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 113230 TX
Assisted Living Facility 310400000X 100820 TX
Skilled Nursing Facility 314000000X 129232 TX Primary

Addresses

Primary practice location

777 N Post Oak Rd
Houston, TX 77024-3800

Mailing address

400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387

Other names 1

  • The Forum at Memorial Woods Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Part of
Five Star Memorial Woods LLC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1760400261",
    "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": "777 N POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243800",
            "telephone_number": "713-956-0732",
            "fax_number": "713-956-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR MEMORIAL WOODS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR MEMORIAL WOODS LLC",
        "enumeration_date": "2006-07-17",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "113230",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "100820",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "129232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Forum at Memorial Woods Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Forum at Memorial Woods Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

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.