NPI 1154376515

Five Star Overland Park LLC

Organisation Skilled Nursing Facility Overland Park, KS

Practice location

Address: 3501 West 95th St, Overland Park, KS 66206-2063
Phone: (913) 648-4500
Fax: (913) 648-6144
Mailing address: 400 Centre St, Newton, MA 02458

Authorised official

Name: Katherine E Potter
Title: President & Chief Executive Officer
Phone: (617) 796-8387

Registered specialties (2)

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence N046033 (KS)

Other Skilled Nursing Facility providers in Kansas →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence N046033 (KS)

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Registry record

NPI: 1154376515
Entity type: Organization
NPI issued: 24 May 2006
Record last updated: 28 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.