Five Star Quality Care Wi LLC
Skilled Nursing Facility in Clintonville, Wisconsin
1649225392- Practice location
- 1625 E Main St, Village Of Embarrass, Clintonville, WI 54929-9236
- Phone
- 715-823-3135
- Fax
- 715-823-1313
- Last updated
- May 19, 2008
Five Star Quality Care Wi LLC is a healthcare organization based in Clintonville, WI. Five Star Quality Care Wi LLC practices in Clintonville, WI. The NPI Number for Five Star Quality Care Wi LLC is 1649225392 and holds a License No. 3052 (WI). The current practice location address for Five Star Quality Care Wi LLC is 1625 E Main St, Village Of Embarrass, Clintonville, WI 54929-9236 and can be reached out via phone at 715-823-3135 and via fax at 715-823-1313.
Provider Profile Details
- NPI Number
- 1649225392
- Provider Name
- Five Star Quality Care Wi LLC
- Provider Entity Type
- Organization
- Address
- 1625 E Main St, Village Of Embarrass, Clintonville, WI 54929-9236
- Phone Number
- 715-823-3135
- Fax Number
- 715-823-1313
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- Yes
- Parent Organization
- Five Star Quality Care Wi LLC
- Authorized Official
- Bruce J Mackey · Ceo · 617-796-8387
- Other Names
- Pine Manor Health Care Center (Doing Business As)
- Provider Enumeration Date
- May 23, 2006
- Last Update Date
- May 19, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1625 E Main St
Village Of Embarrass
Clintonville, WI 54929-9236 - City
- Clintonville
- State
- Wisconsin
- Zip
- 54929-9236
- Phone Number
- 715-823-3135
- Fax Number
- 715-823-1313
Provider Business Mailing Address Details
- Address
- 400 Centre St
Newton, MA 02458 - City
- Newton
- State
- MA
- Zip
- 02458
- Phone Number
- 617-796-8387
- Fax Number
- 617-796-8375
License Information
- License Number
- 3052
- 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 Clintonville, WI
View all Skilled Nursing Facility providers in Clintonville →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 1649225392. It was assigned on May 23, 2006 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 3052.
Where does Five Star Quality Care Wi LLC practice?
The practice location is 1625 E Main St, Village Of Embarrass, Clintonville, WI 54929-9236. The office can be reached at 715-823-3135 (phone) or 715-823-1313 (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 1649225392 directly on the NPPES registry website.