Legacy Heights Senior Living Community

LBN: Five Star Quality Care - Obx Operator, Llc
Legacy Heights Senior Living Community is an health care organization with primary practice located at 11230 Ballantyne Trace Court , Charlotte NC 28277. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Five Star Quality Care - Obx Operator, Llc can be contacted via phone (704) 544-7220, or through Potter, Katherine E via phone (617) 796-8387.

Contact Information

Primary practice address
11230 Ballantyne Trace Court Charlotte NC 28277
Phone: (704) 544-7220
Fax: (704) 544-7221
Website:
Map and Directions
Authorized official contact:
Name: Potter, Katherine E
Phone: (617) 796-8387

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-060-086 North Carolina
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1194877001
LBN Legal business name Five Star Quality Care - Obx Operator, Llc
DBA Doing business as Legacy Heights Senior Living Community
Authorized official Potter, Katherine E
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2007
Last updated Mar 28th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194877001 NPPES
North Carolina MEDICAID 7806166

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