Active NPIOrganization

Five Star Savannah Square LLC

Assisted Living Facility in Savannah, Georgia

NPI Number1417943028
Practice location
1 Savannah Square Dr, Savannah, GA 31406-6755
Fax
912-921-8150
Last updated
July 30, 2021

Five Star Savannah Square LLC is a healthcare organization based in Savannah, GA. Five Star Savannah Square LLC practices in Savannah, GA. The NPI Number for Five Star Savannah Square LLC is 1417943028 and holds a License No. 10251158 (GA). The current practice location address for Five Star Savannah Square LLC is 1 Savannah Square Dr, Savannah, GA 31406-6755 and can be reached out via phone at 912-927-7550 and via fax at 912-921-8150.

Provider Profile Details

NPI Number
1417943028
Provider Name
Five Star Savannah Square LLC
Provider Entity Type
Organization
Address
1 Savannah Square Dr, Savannah, GA 31406-6755
Phone Number
912-927-7550
Fax Number
912-921-8150
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
Yes
Parent Organization
Five Star Savannah Squarellc
Authorized Official
Katherine E Potter · President & Chief Executive Officer · 617-796-8387
Other Names
Savannah Square Health Center (Doing Business As)
Provider Enumeration Date
September 20, 2005
Last Update Date
July 30, 2021
Certification Date
July 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Savannah Square Dr
Savannah, GA 31406-6755
State
Georgia
Zip
31406-6755
Phone Number
912-927-7550
Fax Number
912-921-8150
Savannah, GA 31406Get directions →

Provider Business Mailing Address Details

Address
400 Centre St
Newton, MA 02458-2094
City
Newton
State
MA
Zip
02458-2094
Phone Number
617-796-8387
Fax Number
617-796-8375

License Information

License Number (1)
10251158
License State (1)
GA
Taxonomy (1)
Skilled Nursing Facility · 314000000X
Taxonomy (2)
Assisted Living Facility · 310400000X · 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 Savannah Square LLC?

The NPI number of Five Star Savannah Square LLC is 1417943028. It was assigned on September 20, 2005 and is currently active in the NPPES registry.

What is the specialty of Five Star Savannah Square LLC?

Five Star Savannah Square LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in GA under license number 10251158.

Where does Five Star Savannah Square LLC practice?

The practice location is 1 Savannah Square Dr, Savannah, GA 31406-6755. The office can be reached at 912-927-7550 (phone) or 912-921-8150 (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 1417943028 directly on the NPPES registry website.

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