Five Star Quality Care - Obx Operator, LLC
Assisted Living Facility in Charlotte, North Carolina
1194877001- Practice location
- 11230 Ballantyne Trace Court, Charlotte, NC 28277
- Phone
- 704-544-7220
- Fax
- 704-544-7221
- Last updated
- March 28, 2019
Five Star Quality Care - Obx Operator, LLC is a healthcare organization based in Charlotte, NC. Five Star Quality Care - Obx Operator, LLC practices in Charlotte, NC. The NPI Number for Five Star Quality Care - Obx Operator, LLC is 1194877001 and holds a License No. HAL-060-086 (NC). The current practice location address for Five Star Quality Care - Obx Operator, LLC is 11230 Ballantyne Trace Court, Charlotte, NC 28277 and can be reached out via phone at 704-544-7220 and via fax at 704-544-7221.
Provider Profile Details
- NPI Number
- 1194877001
- Provider Name
- Five Star Quality Care - Obx Operator, LLC
- Provider Entity Type
- Organization
- Address
- 11230 Ballantyne Trace Court, Charlotte, NC 28277
- Phone Number
- 704-544-7220
- Fax Number
- 704-544-7221
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- Yes
- Parent Organization
- Five Star Quality Care - Obx Operator, LLC
- Authorized Official
- Katherine E Potter · President & Chief Executive Officer · 617-796-8387
- Other Names
- Legacy Heights Senior Living Community (Doing Business As)
- Provider Enumeration Date
- January 18, 2007
- Last Update Date
- March 28, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11230 Ballantyne Trace Court
Charlotte, NC 28277 - City
- Charlotte
- State
- North Carolina
- Zip
- 28277
- Phone Number
- 704-544-7220
- Fax Number
- 704-544-7221
Provider Business Mailing Address Details
- Address
- 400 Centre Street
Newton, MA 02458 - City
- Newton
- State
- MA
- Zip
- 02458
- Phone Number
- 617-796-8160
License Information
- License Number (1)
- HAL-060-086
- License State (1)
- NC
- Taxonomy (1)
- Assisted Living Facility · 310400000X
- Taxonomy (2)
- Assisted Living Facility · 310400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Assisted Living Facility providers near Charlotte, NC
View all Assisted Living Facility providers in Charlotte →Frequently Asked Questions
What is the NPI number of Five Star Quality Care - Obx Operator, LLC?
The NPI number of Five Star Quality Care - Obx Operator, LLC is 1194877001. It was assigned on January 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Five Star Quality Care - Obx Operator, LLC?
Five Star Quality Care - Obx Operator, LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in NC under license number HAL-060-086.
Where does Five Star Quality Care - Obx Operator, LLC practice?
The practice location is 11230 Ballantyne Trace Court, Charlotte, NC 28277. The office can be reached at 704-544-7220 (phone) or 704-544-7221 (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 1194877001 directly on the NPPES registry website.