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FIVE STAR QUALITY CARE-TX LLC NPI 1407166143


NPI Information

NPI: 1407166143
Provider Name: FIVE STAR QUALITY CARE-TX, LLC

Doing Business As: THE HAVEN & LAURELS IN STONE OAK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
511 KNIGHTS CROSS DR
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 404-9005
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FIVE STAR QUALITY CARE-TX, LLC is an assisted living facility in San Antonio, TX. The provider is 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. FIVE STAR QUALITY CARE-TX, LLC NPI is 1407166143. The provider is registered as an organization entity type.
The provider Is Doing Business As The Haven & Laurels In Stone Oak.

The provider's business location address is:

511 KNIGHTS CROSS DR
SAN ANTONIO, TX
ZIP 78258-339
Phone: (210) 404-9005

The provider's authorized official is Bruce J Mackey .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (617) 796-8214.

The enumeration date for this NPI number is 10/15/2010 and was last updated on 6/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311500000XAlzheimer Center (Dementia Center)No
2310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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