NPIMap

Organization Active NPI

Five Star Quality Care-North Carolina, LLC

Doing business as The Laurels in the Village at Carolina Place

  • Alzheimer Center (Dementia Center)
  • Pineville, NC
National Provider Identifier
1851689020
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
FIVE STAR QUALITY CARE-NORTH CAROLINA, LLC
Doing business as
The Laurels in the Village at Carolina Place
Practice address
13180 Dorman Rd
Pineville, NC 28134-9016
Phone
(704) 540-0155
NPI assigned
Jul 21, 2011
Last updated
Jul 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
FIVE STAR QUALITY CARE-NORTH CAROLINA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Paul Hoagland
Title
Chief Financial Officer
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X NU Primary

Addresses

Primary practice location

13180 Dorman Rd
Pineville, NC 28134-9016

Mailing address

400 Centre St
Newton, MA 02458-2094

Other names 1

  • The Laurels in the Village at Carolina Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care- North Carolina LLC4 organizations share this tax ID, including this one
Part of
Five Star Quality Care- North Carolina LLC

Other organizations with this tax ID 3

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": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1851689020",
    "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": "13180 DORMAN RD",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281349016",
            "telephone_number": "704-540-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE-NORTH CAROLINA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-NORTH CAROLINA, LLC",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "HOAGLAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Laurels in the Village at Carolina Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.