FIVE STAR QUALITY CARE-NE, LLC
Assisted Living Facility
North Platte, Nebraska
Provider NPI: 1114929684
Organization Information:Organization Name: FIVE STAR QUALITY CARE-NE, LLC
Practice Location:
510 CENTENNIAL CIRCLE NORTH PLATTE, NE 69101 US
Tel: 308-534-7000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
510 CENTENNIAL CIRCLE NORTH PLATTE, NE 69101 US
Tel: 308-534-7000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NE | 47-0704192/11 |
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NE | 47-0704192/00 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
47-0704192/11 | NE | 05 | |
47-0704192/00 | NE | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin