FIVE STAR QUALITY CARE-TX, LLC (NPI# 1407166143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407166143 |
| Entity Type | Organization |
| Organization Name | FIVE STAR QUALITY CARE-TX, LLC |
| Other Organization Name | THE HAVEN & LAURELS IN STONE OAK |
| Practice Address |
511 Knights Cross Dr San Antonio TX 78258-3339 |
| Mailing Address |
400 Centre St Newton MA 02458-2094 |
| Practice Telephone | 2104049005 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | BRUCE J MACKEY JR. (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6177968214 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR QUALITY CARE-TX, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Haven & Laurels in Stone Oak | Doing Business As Name - Organization |
| Street Address |
511 KNIGHTS CROSS DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487969531 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 511 Knights Cross Dr, San Antonio, TX 78258-3339 | 2010-08-13 |
| 1023666427 | Snh Longhorn Tenant LLC | Assisted Living Facility | 511 Knights Cross Dr, San Antonio, TX 78258-3339 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878598 | Lions Love LLC | Assisted Living Facility | 5303 Hamilton Wolfe Rd Apt 601, San Antonio, TX 78229-4363 | 2020-07-15 |
| 1871128280 | Ridge Oak Assisted Living, LLC | Assisted Living Facility | 13919 Ridge Oak Pkwy, San Antonio, TX 78249-1505 | 2020-03-05 |
| 1417505132 | Snh Longhorn Tenant LLC | Assisted Living Facility | 575 Knights Cross Dr, San Antonio, TX 78258-3342 | 2019-08-27 |
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1396209631 | Claudette Cynthia Roberts | Assisted Living Facility | 16906 Turkey Point St, San Antonio, TX 78232-1831 | 2019-01-30 |
| 1083190664 | Tony C Moffett Sr. | Assisted Living Facility | 6047 Still Mdw, San Antonio, TX 78222-3425 | 2018-07-17 |
| 1063906337 | Felicity Care Home LLC | Assisted Living Facility | 7923 Stebbins St, San Antonio, TX 78240-2620 | 2018-06-19 |
| 1316448723 | Concierge Sernior Service Enterprises | Assisted Living Facility | 4154 Swans Lndg, San Antonio, TX 78217-4245 | 2018-02-22 |
| 1295235901 | Ec Opco Windcrest, LLC | Assisted Living Facility | 6849 Crestway Rd, San Antonio, TX 78239-2321 | 2018-02-19 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.