FIVE STAR QUALITY CARE - OBX OPERATOR, LLC (NPI# 1952536765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952536765 |
Entity Type | Organization |
Organization Name | FIVE STAR QUALITY CARE - OBX OPERATOR, LLC |
Other Organization Name | LEGACY OF ANDERSON SENIOR LIVING COMMUNITY |
Practice Address |
3501 N Highway 81 Anderson SC 29621-4419 |
Mailing Address |
400 Centre St Newton MA 02458-2094 |
Practice Telephone | 8642763501 |
Mailing Telephone | 6177968387 |
Enumeration Date | 2009-05-22 |
Last Update Date | 2020-06-23 |
Authorized Official Name | KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6177968387 |
Is Organization Subpart | Y |
Parent Organization Name | FIVE STAR QUALITY CARE - OBX OPERATOR, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Legacy of Anderson Senior Living Community | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508919101 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 2500 Polo Ridge Ct, Winston-salem, NC 27106 | 2007-01-19 |
1194877001 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 11230 Ballantyne Trace Court, Charlotte, NC 28277 | 2007-01-18 |
1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
1841365434 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 2601 Covington Commons Drive, Fort Wayne, IN 46804 | 2006-11-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | FIVE STAR QUALITY CARE - OBX OPERATOR, LLC | 400 Centre St, Newton, MA 02458 |
Street Address |
3501 N HIGHWAY 81 |
City | ANDERSON |
State | SC |
Zip Code | 29621-4419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598393035 | Kayla H Price | Speech-Language Pathologist | 3501 N Highway 81, Anderson, SC 29621-4419 | 2020-03-30 |
1770118085 | Cassie Rae Merritt | Physical Therapist | 3501 N Highway 81, Anderson, SC 29621-4419 | 2020-03-06 |
1760959993 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 3501 N Highway 81, Anderson, SC 29621-4419 | 2018-10-25 |
1265913040 | Kelsey Nicol Griffith | Occupational Therapist | 3501 N Highway 81, Anderson, SC 29621-4419 | 2018-08-28 |
1538689427 | Kelly Martin Gaber | Physical Therapy Assistant | 3501 N Highway 81, Anderson, SC 29621-4419 | 2017-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
Find all providers in zip 29621 |
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 |
---|---|---|---|---|
1952679185 | Csl Keystone Woods, LLC | Assisted Living Facility | 2335 N Madison Ave, Anderson, IN 46011-9591 | 2011-12-02 |
1063609642 | Christopher Place At Keystone Woods Associates, LLC | Assisted Living Facility | 2334 North Madison Ave, Anderson, IN 46011 | 2007-09-27 |
1326260464 | Legacy of Anderson | Assisted Living Facility | 3501 North Highway 81, Anderson, SC 29621 | 2007-05-02 |
1841239282 | Morningside of Anderson, L.p. | Assisted Living Facility | 1304 Mclees Rd, Anderson, SC 29621-3345 | 2006-06-04 |
1124675178 | Snh Sc Tenant LLC | Assisted Living Facility | 1304 Mclees Rd, Anderson, SC 29621-3345 | 2019-08-23 |
1386808442 | Emeritus Corporation | Assisted Living Facility | 311 Simpson Rd, Anderson, SC 29621-2157 | 2008-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253993 | Aiken Memory Care | Assisted Living Facility | 2288 S Centennial Ave, Aiken, SC 29803-7684 | 2020-10-26 |
1114533981 | Jenni-lynn Assisted Living, LLC | Assisted Living Facility | 915 Hook Ave, West Columbia, SC 29169-5332 | 2020-09-17 |
1689280455 | Sandpiper Independent & Assisted Living, LLC | Assisted Living Facility | 1047 Anna Knapp Blvd, Mount Pleasant, SC 29464-3146 | 2020-09-17 |
1336755396 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1408 Parkway, Greenwood, SC 29646-4043 | 2020-09-16 |
1801402730 | Brookdale Senior Living Communities, Inc | Assisted Living Facility | 105 N Hills Dr, North Augusta, SC 29841-0112 | 2020-09-16 |
1508472424 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 131 Vickery Dr, Central, SC 29630-8330 | 2020-09-16 |
1114533049 | Ahc Sterling House of Harbison, LLC | Assisted Living Facility | 51 Woodcross Dr, Columbia, SC 29212-2350 | 2020-09-16 |
1922614866 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 251 Springtree Dr, Columbia, SC 29223-7989 | 2020-09-16 |
1033725973 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 | 2020-09-16 |
1750997771 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2010 Brushy Creek Rd, Greer, SC 29650-2614 | 2020-09-16 |
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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.