Five Star Savannah Square LLC
NPI 1417943028ActiveOrganization· Assisted Living Facility· Savannah, GA
Assisted Living Facility in Savannah, Georgia, registered in NPPES in September 2005, part of Five Star Savannah Squarellc. The authorized official on file is Katherine E. Potter, President & Chief Executive Officer.
Overview
| NPI | 1417943028 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Five Star Savannah Squarellc |
| NPI issued | Sep 20, 2005 |
| Last updated in NPPES | Jul 30, 2021 |
| Certified by provider | Jul 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Skilled Nursing Facility | 314000000X | 10251158 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 28 assisted living facilities in Savannah · All assisted living facilities in Georgia