- Practice location
- 20600 S Diamond Lake RD, Rogers, MN 55374-4515
- Phone
- 763-428-1981
- Fax
- 763-428-3792
- Last updated
- April 3, 2008
Five Star Quality Care - Mn, LLC is a healthcare organization based in Rogers, MN. Five Star Quality Care - Mn, LLC practices in Rogers, MN. The NPI Number for Five Star Quality Care - Mn, LLC is 1396918918 and holds a License No. 339489 (MN). The current practice location address for Five Star Quality Care - Mn, LLC is 20600 S Diamond Lake RD, Rogers, MN 55374-4515 and can be reached out via phone at 763-428-1981 and via fax at 763-428-3792.
Provider Profile Details
- NPI Number
- 1396918918
- Provider Name
- Five Star Quality Care - Mn, LLC
- Provider Entity Type
- Organization
- Address
- 20600 S Diamond Lake RD, Rogers, MN 55374-4515
- Phone Number
- 763-428-1981
- Fax Number
- 763-428-3792
- Primary Taxonomy
- Alzheimer Center (Dementia Center) · 311500000X
- Organization Subpart
- Yes
- Parent Organization
- Five Star Quality Car - Mn, LLC
- Authorized Official
- Bruce Mackey · Cfo · 617-796-8387
- Other Names
- The Wellstead Of Rogers (Doing Business As)
- Provider Enumeration Date
- April 3, 2008
- Last Update Date
- April 3, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20600 S Diamond Lake RD
Rogers, MN 55374-4515 - City
- Rogers
- State
- Minnesota
- Zip
- 55374-4515
- Phone Number
- 763-428-1981
- Fax Number
- 763-428-3792
Provider Business Mailing Address Details
- Address
- 400 Centre St
Newton, MA 02458-2094 - City
- Newton
- State
- MA
- Zip
- 02458-2094
- Phone Number
- 617-793-8387
- Fax Number
- 617-796-8375
License Information
- License Number
- 339489
- License State
- MN
- Taxonomy
- Alzheimer Center (Dementia Center) · 311500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Alzheimer Center (Dementia Center) providers near Rogers, MN
View all Alzheimer Center (Dementia Center) providers in Rogers →Frequently Asked Questions
What is the NPI number of Five Star Quality Care - Mn, LLC?
The NPI number of Five Star Quality Care - Mn, LLC is 1396918918. It was assigned on April 3, 2008 and is currently active in the NPPES registry.
What is the specialty of Five Star Quality Care - Mn, LLC?
Five Star Quality Care - Mn, LLC is registered under the primary taxonomy Alzheimer Center (Dementia Center) (code 311500000X), licensed in MN under license number 339489.
Where does Five Star Quality Care - Mn, LLC practice?
The practice location is 20600 S Diamond Lake RD, Rogers, MN 55374-4515. The office can be reached at 763-428-1981 (phone) or 763-428-3792 (fax).
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 1396918918 directly on the NPPES registry website.