FIVE STAR QUALITY CARE - OBX OPERATOR LLC NPI 1992857007

NPI Information

  • NPI: 1992857007
  • Provider Name: FIVE STAR QUALITY CARE - OBX OPERATOR, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: CARRIAGE HOUSE SENIOR LIVING COMMUNITY
  • CLIA Number: 34D2069523
  • Address: 3896 NORTH ELM STREET
    GREENSBORO, NC
    ZIP 27455
  • Phone: (336) 286-1235

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NPI Details

FIVE STAR QUALITY CARE - OBX OPERATOR, LLC is an assisted living facility in Greensboro, NC. 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 - OBX OPERATOR, LLC NPI is 1992857007. The provider is registered as an organization entity type.
The provider Is Doing Business As Carriage House Senior Living Community.

The provider's business location address is:

3896 NORTH ELM STREET
GREENSBORO, NC
ZIP 27455
Phone: (336) 286-1235
Fax: (336) 540-9325

The provider's authorized official is Katherine E Potter .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (617) 796-8387.

The CLIA number assigned to this NPI record is 34D2069523 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 6/23/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17806154MEDICAIDNORTH CAROLINA

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: 11/21/2025

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