FIVE STAR QUALITY CARE - OBX OPERATOR, LLC (NPI# 1992857007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992857007 |
| Entity Type | Organization |
| Organization Name | FIVE STAR QUALITY CARE - OBX OPERATOR, LLC |
| Other Organization Name | CARRIAGE HOUSE SENIOR LIVING COMMUNITY |
| Practice Address |
3896 North Elm Street Greensboro NC 27455 |
| Mailing Address |
400 Centre Street Newton MA 02458 |
| Practice Telephone | 3362861235 |
| Practice Fax Number | 3365409325 |
| Mailing Telephone | 6177968387 |
| Mailing Fax Number | 6177968385 |
| Enumeration Date | 2007-01-17 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7806154 | 05 |
| Other Name | Type Code |
|---|---|
| Carriage House Senior Living Community | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952536765 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3501 N Highway 81, Anderson, SC 29621-4419 | 2009-05-22 |
| 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 |
| 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 |
3896 NORTH ELM STREET |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| 1750327870 | Samuel Lester Tyson | Ophthalmology | 3810 N Elm St, 209, Greensboro, NC 27455 | 2006-06-20 |
| Find all providers in zip 27455 | ||||
| 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 |
|---|---|---|---|---|
| 1548615651 | Changing Lives Group Home II LLC | Assisted Living Facility | 2321 Albright Dr, Greensboro, NC 27408-5415 | 2016-04-26 |
| 1568800357 | Greensboro Al Holdings, LLC | Assisted Living Facility | 5918 Netfield Rd, Greensboro, NC 27455-9245 | 2013-06-13 |
| 1083990550 | Spring Arbor of Greensboro, Limited Partnership | Assisted Living Facility | 5125 Michaux Rd, Greensboro, NC 27410-9202 | 2011-10-28 |
| 1679801898 | Pear Manor | Assisted Living Facility | 2521 Pear St, Greensboro, NC 27401-4048 | 2009-11-29 |
| 1073756904 | Solomon Holding I-the Triangle, LLC | Assisted Living Facility | 1208 New Garden Rd, Greensboro, NC 27410-2679 | 2009-04-08 |
| 1528213071 | Positive Care #2 | Assisted Living Facility | 3606 Fern Pl, Greensboro, NC 27408-2808 | 2008-11-25 |
| 1720269087 | Greenwoods, Inc. | Assisted Living Facility | 4501 Old Battleground Rd, Greensboro, NC 27410-9352 | 2007-11-15 |
| 1992827810 | New Vision | Assisted Living Facility | 8 Crite Ct, Greensboro, NC 27405-5546 | 2007-04-03 |
| 1639290828 | Longs Rest Home IIi | Assisted Living Facility | 317 Oconnor St, Greensboro, NC 27406-2209 | 2007-04-03 |
| 1679694848 | Longs Rest Home for The Aged | Assisted Living Facility | 2645 Longacre Rd, Greensboro, NC 27406-9511 | 2007-04-03 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
Please comment or provide details below to improve the information on FIVE STAR QUALITY CARE - OBX OPERATOR, LLC.
| 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.