NPIMap

Organization Active NPI

Five Star Quality Care

Doing business as Legacy Heights

  • Assisted Living Facility
  • Charlotte, NC
National Provider Identifier
1962711507
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FIVE STAR QUALITY CARE
Doing business as
Legacy Heights
Practice address
11230 Ballantyne Trace CT
Charlotte, NC 28277-2791
Phone
(704) 544-7220
Fax
(704) 544-7221
NPI assigned
Sep 30, 2010
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Marge Picarsic, RN
Title
Resident Service Director
Phone
(704) 544-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

11230 Ballantyne Trace CT
Charlotte, NC 28277-2791

Mailing address

11230 Ballantyne Trace CT
Charlotte, NC 28277-2791
Phone (704) 544-7220

Other names 1

  • Legacy Heights Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

11230 Ballantyne Trace Ct
Charlotte, NC 28277
Phone (704) 341-1139

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1962711507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 BALLANTYNE TRACE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772791",
            "telephone_number": "704-544-7220",
            "fax_number": "704-544-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 BALLANTYNE TRACE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772791",
            "telephone_number": "704-544-7220",
            "fax_number": "704-544-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "PICARSIC",
        "authorized_official_first_name": "MARGE",
        "authorized_official_title_or_position": "RESIDENT SERVICE DIRECTOR",
        "authorized_official_telephone_number": "704-544-7220",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.