Five Star Quality Care-FL, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FIVE STAR QUALITY CARE-FL, LLC

Doing business as

The Palms of St. Lucie West

Practice address

501 N.W. Cashmere Boulevard
Port St. Lucie West, FL 34986

Phone

(772) 344-7441

Fax

(772) 344-7417

NPI assigned

Jan 3, 2007

Last updated

Mar 27, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR QUALITY CARE-FL, LLCAs reported in NPPES

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

Authorized official

Name

Katherine E Potter

Title

Presdient & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 2

Addresses

Other names 1

• The Palms of St. Lucie West Doing business as

Tax ID family

Five Star Quality Care-FL LLC2 organizations share this tax ID, including this one

Part of

Five Star Quality Care-FL LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Five Star Quality Care-FL, LLC

  dba Tuscany Villa of Naples

  • Assisted Living Facility
  • Naples, FL
  • NPI 1265751887
  NPD tax ID

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1861559031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N.W. CASHMERE BOULEVARD",
            "city": "PORT ST. LUCIE WEST",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-344-7441",
            "fax_number": "772-344-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N.W. CASHMERE BOULEVARD",
            "city": "PORT ST. LUCIE WEST",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-344-7441",
            "fax_number": "772-344-7417"
        }
    ],
    "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": "2007-01-03",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESDIENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10438",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Palms of St. Lucie West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Palms of St. Lucie West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.