Active NPI
Five Star Quality Care FL LLC
Doing business as Court At Palm Aire
- Skilled Nursing Facility
- Pompano Beach, FL
National Provider Identifier
1760591358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 15550962
- Legal business name
- FIVE STAR QUALITY CARE FL LLC
- Doing business as
- Court At Palm Aire
- Practice address
- 2701 North Course Drive
Pompano Beach, FL 33069-3058 - Phone
- (954) 975-8900
- Fax
- (954) 975-8933
- NPI assigned
- Aug 29, 2006
- Last updated
- May 4, 2021
- Organization subpart
- Yes
- Parent organization
- FIVE STAR QUALITY CARE FL 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 Jr.
- Title
- President & Chief Executive Officer
- Phone
- (617) 796-8387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 15550962 | FL | Primary |
Addresses
Primary practice location
2701 North Course Drive
Pompano Beach, FL 33069-3058
Mailing address
2701 North Course Drive
Pompano Beach, FL 33069-3089
Phone (954) 975-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031879500 | Medicaid | FL |
Other names 1
- Court At Palm Aire
National Provider Directory
National Provider Directory- Part of
- Five Star Quality Care FL LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1760591358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 NORTH COURSE DRIVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693089",
"telephone_number": "954-975-8900",
"fax_number": "954-975-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 NORTH COURSE DRIVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693058",
"telephone_number": "954-975-8900",
"fax_number": "954-975-8933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR QUALITY CARE FL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE STAR QUALITY CARE FL LLC",
"enumeration_date": "2006-08-29",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"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",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "15550962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031879500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Court At Palm Aire",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Court At Palm Aire",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.