Active NPI
Five Star Lincoln Heights, LLC
- Skilled Nursing Facility
- San Antonio, TX
National Provider Identifier
1902810625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 116091
- Legal business name
- FIVE STAR LINCOLN HEIGHTS, LLC
- Doing business as
- The Forum at Lincoln Heights
- Practice address
- 311 West Nottingham Drive
San Antonio, TX 78209-1824 - Phone
- (210) 824-2314
- Fax
- (210) 824-6556
- NPI assigned
- Jul 28, 2006
- Organization subpart
- Yes
- Parent organization
- FIVE STAR LINCOLN HEIGHTS, 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
- Title
- President & Chief Executive Officer
- Phone
- (617) 796-8387
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 115736 | TX | |
| Skilled Nursing Facility | 314000000X | 116091 | TX | Primary |
Addresses
Primary practice location
311 West Nottingham Drive
San Antonio, TX 78209-1824
Mailing address
311 West Nottingham Drive
San Antonio, TX 78209-1824
Phone (210) 824-2314
Other names 1
- The Forum at Lincoln Heights
National Provider Directory
National Provider Directory- Part of
- Five Star Lincoln Heights LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553731200000",
"number": "1902810625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 WEST NOTTINGHAM DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091824",
"telephone_number": "210-824-2314",
"fax_number": "210-824-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 WEST NOTTINGHAM DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091824",
"telephone_number": "210-824-2314",
"fax_number": "210-824-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR LINCOLN HEIGHTS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE STAR LINCOLN HEIGHTS, LLC",
"enumeration_date": "2006-07-28",
"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": "115736",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TX",
"license": "116091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Forum at Lincoln Heights",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Forum at Lincoln Heights",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Antonio, TX
- Molly Fitzpatrick, MD
- Pamela Jean Fitzpatrick, PH.D.
- Valaria Fitzpatrick
- Linzy Ann Fitzsimons, M.D.
- Five Star Family Dental, PLLC
- Five Star Medical Supplies Trader LLC
- Five Star Medical Supply Incorporated
- Five Star Quality Care-TX, LLC
- Five Star Rehabilitation and Wellness Services, LLC
- Five Star Rehabilitation and Wellness Services, LLC.
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.