Active NPIOrganization

Five Star Overland Park LLC

Skilled Nursing Facility in Overland Park, Kansas

NPI Number1154376515
Practice location
3501 West 95TH St, Overland Park, KS 66206-2063
Fax
913-648-6144
Last updated
March 28, 2019

Five Star Overland Park LLC is a healthcare organization based in Overland Park, KS. Five Star Overland Park LLC practices in Overland Park, KS. The NPI Number for Five Star Overland Park LLC is 1154376515 and holds a License No. N046033 (KS). The current practice location address for Five Star Overland Park LLC is 3501 West 95TH St, Overland Park, KS 66206-2063 and can be reached out via phone at 913-648-4500 and via fax at 913-648-6144.

Provider Profile Details

NPI Number
1154376515
Provider Name
Five Star Overland Park LLC
Provider Entity Type
Organization
Address
3501 West 95TH St, Overland Park, KS 66206-2063
Phone Number
913-648-4500
Fax Number
913-648-6144
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
Yes
Parent Organization
Five Star Overland Park LLC
Authorized Official
Katherine E Potter · President & Chief Executive Officer · 617-796-8387
Other Names
The Forum At Overland Park (Doing Business As)
Provider Enumeration Date
May 24, 2006
Last Update Date
March 28, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
3501 West 95TH St
Overland Park, KS 66206-2063
State
Kansas
Zip
66206-2063
Phone Number
913-648-4500
Fax Number
913-648-6144
Overland Park, KS 66206Get directions →

Provider Business Mailing Address Details

Address
400 Centre St
Newton, MA 02458
City
Newton
State
MA
Zip
02458
Phone Number
617-796-8387
Fax Number
617-796-8375

License Information

License Number (1)
N046033
License State (1)
KS
Taxonomy (1)
Assisted Living Facility · 310400000X
License Number (2)
N046033
License State (2)
KS
Taxonomy (2)
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Five Star Overland Park LLC?

The NPI number of Five Star Overland Park LLC is 1154376515. It was assigned on May 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Five Star Overland Park LLC?

Five Star Overland Park LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in KS under license number N046033.

Where does Five Star Overland Park LLC practice?

The practice location is 3501 West 95TH St, Overland Park, KS 66206-2063. The office can be reached at 913-648-4500 (phone) or 913-648-6144 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154376515 directly on the NPPES registry website.

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