Five Star Tucson Forum LLC
NPI 1457304404ActiveOrganization· Skilled Nursing Facility· Tucson, AZ
Skilled Nursing Facility in Tucson, Arizona, registered in NPPES in May 2006, part of Five Star Tucson Forum LLC. The authorized official on file is Katherine E. Potter, President & Chief Executive Officer.
Overview
| NPI | 1457304404 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Five Star Tucson Forum LLC |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Mar 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | NCI419 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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