- Practice location
- 10803 N Port Washington RD, Mequon, WI 53092-5085
- Phone
- 262-478-2200
- Fax
- —
- Last updated
- May 13, 2016
Five Star Northshore LLC is a healthcare organization based in Mequon, WI. Five Star Northshore LLC practices in Mequon, WI. The NPI Number for Five Star Northshore LLC is 1154563435 and holds a License No. 0013000 (WI). The current practice location address for Five Star Northshore LLC is 10803 N Port Washington RD, Mequon, WI 53092-5085 and can be reached out via phone at 262-478-2200.
Provider Profile Details
- NPI Number
- 1154563435
- Provider Name
- Five Star Northshore LLC
- Provider Entity Type
- Organization
- Address
- 10803 N Port Washington RD, Mequon, WI 53092-5085
- Phone Number
- 262-478-2200
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- Yes
- Parent Organization
- Five Star Northshore LLC
- Authorized Official
- Bruce J. Mackey · President & Chief Executive Officer · 617-796-8214
- Provider Enumeration Date
- April 1, 2009
- Last Update Date
- May 13, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10803 N Port Washington RD
Mequon, WI 53092-5085 - City
- Mequon
- State
- Wisconsin
- Zip
- 53092-5085
- Phone Number
- 262-478-2200
Provider Business Mailing Address Details
- Address
- 400 Centre St
Newton, MA 02458-2094 - City
- Newton
- State
- MA
- Zip
- 02458-2094
License Information
- License Number
- 0013000
- License State
- WI
- Taxonomy
- Assisted Living Facility · 310400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Assisted Living Facility providers near Mequon, WI
View all Assisted Living Facility providers in Mequon →Frequently Asked Questions
What is the NPI number of Five Star Northshore LLC?
The NPI number of Five Star Northshore LLC is 1154563435. It was assigned on April 1, 2009 and is currently active in the NPPES registry.
What is the specialty of Five Star Northshore LLC?
Five Star Northshore LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in WI under license number 0013000.
Where does Five Star Northshore LLC practice?
The practice location is 10803 N Port Washington RD, Mequon, WI 53092-5085. The office can be reached at 262-478-2200 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154563435 directly on the NPPES registry website.