Organization Active NPI

Five Star Assisted Living Services, LLC

  • Assisted Living Facility
  • Duluth, MN
National Provider Identifier
1780939132
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
358130 Issued in MN
Legal business name
FIVE STAR ASSISTED LIVING SERVICES, LLC
Practice address
6353 E Superior Street
Duluth, MN 55804-2545
Phone
(218) 625-2319
Fax
(218) 625-2338
NPI assigned
Jul 20, 2012
Organization subpart
Yes
Parent organization
FIVE STAR ASSISTED LIVING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natalie Zeleznikar
Title
Ceo
Phone
(218) 625-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 358130 MN Primary

Addresses

Primary practice location

6353 E Superior Street
Duluth, MN 55804-2545

Mailing address

2701 W. Superior Street
Suite 101
Duluth, MN 55806
Phone (218) 625-2319

Other names 1

  • Five Star Living of Lester Park Doing business as

National Provider Directory

National Provider Directory
Part of
Five Star Assisted Living Services LLC

Locations

6353 E Superior St
Duluth, MN 55804
Phone (218) 525-8093

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1780939132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W. SUPERIOR STREET",
            "address_2": "SUITE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55806",
            "telephone_number": "218-625-2319",
            "fax_number": "218-625-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 E SUPERIOR STREET",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042545",
            "telephone_number": "218-625-2319",
            "fax_number": "218-625-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR ASSISTED LIVING SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR ASSISTED LIVING SERVICES, LLC",
        "enumeration_date": "2012-07-20",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "ZELEZNIKAR",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-625-8488"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "358130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Living of Lester Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.