Five Star Quality Care-In LLC
Assisted Living Facility in Indianapolis, IN. Organization (NPI-2).
NPI number1003545146
StatusActive
Last updated in NPPESJun 6, 2022
Details
- NPI
- 1003545146
- Entity type
- Organization (NPI-2)
- Legal business name
- Five Star Quality Care-In LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Jun 6, 2022
- Last updated
- Jun 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Five Star Residences Of Clearwater (Doing Business As)
Practice location
4519 E 82nd StIndianapolis, IN 46250-4241
Phone 317-849-2244 · Fax 317-849-6625
Mailing address
4519 E 82nd StIndianapolis, IN 46250-4241
Phone 317-849-2244 · Fax 317-849-6625
Authorized official
Jeffrey C. Leer
Exec. V.P., Cfo, Treasurer & Ceo
6177968387
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