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Five Star Quality Care Ca LLC

Five Star Quality Care Ca LLC is a healthcare organization registered as Skilled Nursing Facility in Lancaster, CA, holding Type 2 (organization) NPI 1760437628 since 2006. The authorized official on file is Katherine Potter, President & Chief Executive Officer.

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NPI 1760437628
Entity type Organization (Type 2)
Legal business name Five Star Quality Care Ca LLC
Other name <Unavail>
Parent organization Five Star Quality Care Ca LLC
Practice address 1642 W AVENUE J, Lancaster, CA, 93534
Phone 6619428463
Fax 6619485133
Enumeration date 2006-05-22
Last updated in NPPES 2019-03-22

Authorized official

Name Katherine Potter
Title President & Chief Executive Officer
Phone 6177968387

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary 9200000046 CA
Copy-ready billing details
Provider: Five Star Quality Care Ca LLC
NPI: 1760437628
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 1642 W AVENUE J, Lancaster, CA, 93534

Providers at this address

NPI Name Type Specialty Location
1215237391 Marita Bersamira Individual Licensed Vocational Nurse Lancaster, CA
1972991487 Lisa Depaul Individual Physical Therapy Assistant Lancaster, CA
1417345851 Susan Bell Individual Physical Therapy Assistant Lancaster, CA
1225427594 Bradley Cowen Individual Physical Therapy Assistant Lancaster, CA
1023407293 Geriane Vasquez Individual Speech-Language Pathologist Lancaster, CA
1831588722 Ginalen Adeva Individual Physical Therapy Assistant Lancaster, CA
1831588755 Rowena Nova Individual Occupational Therapy Assistant Lancaster, CA
1013306539 Raphael Moore Individual Occupational Therapy Assistant Lancaster, CA

Verify this record

Cross-check NPI 1760437628 against the authoritative CMS record: view Five Star Quality Care Ca LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Five Star Quality Care Ca LLC?
Five Star Quality Care Ca LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-03-22.