NPIMap

Organization Active NPI

Five Star Quality Care-Colorado LLC

Doing business as Willow Tree Care Center

  • Respite Care
  • Delta, CO
National Provider Identifier
1972003218
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
FIVE STAR QUALITY CARE-COLORADO LLC
Doing business as
Willow Tree Care Center
Practice address
2050 S Main St
Delta, CO 81416-2407
Phone
(970) 874-9773
Fax
(970) 874-3611
NPI assigned
Feb 13, 2018
Organization subpart
Yes
Parent organization
FIVE STAR QUALITY CARE-COLORADO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X CO Primary

Addresses

Primary practice location

2050 S Main St
Delta, CO 81416-2407

Mailing address

2050 S Main St
Delta, CO 81416-2407
Phone (970) 874-9773

Other names 1

  • Willow Tree Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care-Colorado LLC7 organizations share this tax ID, including this one
Part of
Five Star Quality Care-Colorado LLC

Other organizations with this tax ID 6

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": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1972003218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S MAIN ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162407",
            "telephone_number": "970-874-9773",
            "fax_number": "970-874-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S MAIN ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162407",
            "telephone_number": "970-874-9773",
            "fax_number": "970-874-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE-COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-COLORADO LLC",
        "enumeration_date": "2018-02-13",
        "last_updated": "2019-03-26",
        "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": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Tree Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.