Five Star Quality Care-Wi, LLC
Skilled Nursing Facility in West Allis, Wisconsin
1417944612- Practice location
- 5301 West Lincoln Avenue, West Allis, WI 53219-1652
- Phone
- 414-615-7200
- Fax
- 414-615-7260
- Last updated
- March 27, 2019
Five Star Quality Care-Wi, LLC is a healthcare organization based in West Allis, WI. Five Star Quality Care-Wi, LLC practices in West Allis, WI. The NPI Number for Five Star Quality Care-Wi, LLC is 1417944612 and holds a License No. 3181 (WI). The current practice location address for Five Star Quality Care-Wi, LLC is 5301 West Lincoln Avenue, West Allis, WI 53219-1652 and can be reached out via phone at 414-615-7200 and via fax at 414-615-7260.
Provider Profile Details
- NPI Number
- 1417944612
- Provider Name
- Five Star Quality Care-Wi, LLC
- Provider Entity Type
- Organization
- Address
- 5301 West Lincoln Avenue, West Allis, WI 53219-1652
- Phone Number
- 414-615-7200
- Fax Number
- 414-615-7260
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- Yes
- Parent Organization
- Five Star Quality Care-Wi, LLC
- Authorized Official
- Katherine E Potter · President & Chief Executive Officer · 617-796-8387
- Other Names
- Mitchell Manor (Doing Business As)
- Provider Enumeration Date
- October 3, 2005
- Last Update Date
- March 27, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5301 West Lincoln Avenue
West Allis, WI 53219-1652 - City
- West Allis
- State
- Wisconsin
- Zip
- 53219-1652
- Phone Number
- 414-615-7200
- Fax Number
- 414-615-7260
Provider Business Mailing Address Details
- Address
- 400 Centre Street
Newton, MA 02458 - City
- Newton
- State
- MA
- Zip
- 02458
- Phone Number
- 617-796-8387
- Fax Number
- 617-796-8385
License Information
- License Number
- 3181
- License State
- WI
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near West Allis, WI
View all Skilled Nursing Facility providers in West Allis →Frequently Asked Questions
What is the NPI number of Five Star Quality Care-Wi, LLC?
The NPI number of Five Star Quality Care-Wi, LLC is 1417944612. It was assigned on October 3, 2005 and is currently active in the NPPES registry.
What is the specialty of Five Star Quality Care-Wi, LLC?
Five Star Quality Care-Wi, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in WI under license number 3181.
Where does Five Star Quality Care-Wi, LLC practice?
The practice location is 5301 West Lincoln Avenue, West Allis, WI 53219-1652. The office can be reached at 414-615-7200 (phone) or 414-615-7260 (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 1417944612 directly on the NPPES registry website.