Carriage House Senior Living Community

LBN: Five Star Quality Care - Obx Operator, Llc
Carriage House Senior Living Community is an health care organization with primary practice located at 3896 North Elm Street , Greensboro NC 27455. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Five Star Quality Care - Obx Operator, Llc can be contacted via phone (336) 286-1235, or through Potter, Katherine E via phone (617) 796-8387.

Contact Information

Primary practice address
3896 North Elm Street Greensboro NC 27455
Phone: (336) 286-1235
Fax: (336) 540-9325
Website:
Map and Directions
Authorized official contact:
Name: Potter, Katherine E
Phone: (617) 796-8387

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1992857007
LBN Legal business name Five Star Quality Care - Obx Operator, Llc
DBA Doing business as Carriage House Senior Living Community
Authorized official Potter, Katherine E
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jun 23rd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992857007 NPPES
North Carolina MEDICAID 7806154

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