Organization Name: | FIVE STAR QUALITY CARE-NE, LLC |
NPI Number: | 1114929684 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE J. MACKEY (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 510 Centennial Circle North Platte |
State: | NE US |
Postal Code: | 691016586 |
Phone Number: | 3085347000 |
Fax Number: | 3085348216 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 47-0704192/11 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |