Senior Star Investments Elmore, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR STAR INVESTMENTS ELMORE, LLC

Doing business as

Senior Star at Elmore Place

Practice address

4500 Elmore Ave
Davenport, IA 52807-2502

Phone

(563) 359-0100

NPI assigned

Apr 25, 2025

Organization subpart

No

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

Authorized official

Name

Shadoworee Betts

Title

Chief Operating Officer

Phone

(918) 592-4400

Specialties & licenses 1

Addresses

Other names 1

• Senior Star at Elmore Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1942098405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194019",
            "telephone_number": "918-592-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 ELMORE AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072502",
            "telephone_number": "563-359-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR STAR INVESTMENTS ELMORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "SHADOWOREE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "918-592-4400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Star at Elmore Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Davenport, IA
• Providers in Davenport, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.