Provider Demographics
NPI:1962711507
Name:FIVE STAR QUALITY CARE
Entity type:Organization
Organization Name:FIVE STAR QUALITY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RESIDENT SERVICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PICARSIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-544-7220
Mailing Address - Street 1:11230 BALLANTYNE TRACE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2791
Mailing Address - Country:US
Mailing Address - Phone:704-544-7220
Mailing Address - Fax:704-544-7221
Practice Address - Street 1:11230 BALLANTYNE TRACE CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2791
Practice Address - Country:US
Practice Address - Phone:704-544-7220
Practice Address - Fax:704-544-7221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility