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Five Star Brookside LLC

Skilled Nursing Facility in Louisville, KY · enumerated 2006 · authorized official Katherine Potter, President & Chief Executive Officer.

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1811942881

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Registry record

Entity type Organization (Type 2)
Legal business name Five Star Brookside LLC
Other name <Unavail>
Parent organization Five Star Brookside LLC
Practice address 200 Brookside Dr, Louisville, KY, 40243
Fax (502) 244-6327
Enumeration date May 24, 2006
Last updated in NPPES Mar 28, 2019

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 100551 (KY) Primary

Authorized official

Name Katherine Potter
Title President & Chief Executive Officer

Other identifiers

Identifier Type State Issuer
7100122850 Medicaid KY

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 2019-03-28. Verify at npiregistry.cms.hhs.gov.
Where is Five Star Brookside LLC located?
The practice location on file with NPPES is in Louisville, KY.

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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-03-28.