Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Five Star Quality Care - Obx Operator, LLC

Assisted Living Facility in Winston-Salem, NC · enumerated 2007 · authorized official Katherine Potter, President & Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508919101

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Registry record

Entity type Organization (Type 2)

Legal business name Five Star Quality Care - Obx Operator, LLC

Other name <Unavail>

Parent organization Five Star Quality Care - Obx Operator, LLC

Practice address 2500 Polo Ridge Ct, Winston-Salem, NC, 27106

Phone (336) 722-7118

Fax (336) 722-9785

Enumeration date Jan 19, 2007

Last updated in NPPES Jun 23, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Katherine Potter

Title President & Chief Executive Officer

Phone (617) 796-8387

Other identifiers

Identifier	Type	State	Issuer
7806153	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-06-23. Verify at npiregistry.cms.hhs.gov.

Where is Five Star Quality Care - Obx Operator, LLC located?

The practice location on file with NPPES is in Winston-Salem, NC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-23.