Active NPIOrganization

Five Star Ellicott City LLC

Assisted Living Facility in Ellicott City, Maryland

NPI Number1992740690
Practice location
3004 N Ridge RD, Ellicott City, MD 21043-3381
Fax
410-461-8233
Last updated
June 27, 2016

Five Star Ellicott City LLC is a healthcare organization based in Ellicott City, MD. Five Star Ellicott City LLC practices in Ellicott City, MD. The NPI Number for Five Star Ellicott City LLC is 1992740690 and holds a License No. 13AL166 (MD). The current practice location address for Five Star Ellicott City LLC is 3004 N Ridge RD, Ellicott City, MD 21043-3381 and can be reached out via phone at 410-461-9494 and via fax at 410-461-8233.

Provider Profile Details

NPI Number
1992740690
Provider Name
Five Star Ellicott City LLC
Provider Entity Type
Organization
Address
3004 N Ridge RD, Ellicott City, MD 21043-3381
Phone Number
410-461-9494
Fax Number
410-461-8233
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
Yes
Parent Organization
Five Star Ellicott City LLC
Authorized Official
Bruce J Mackey · President & Chief Executive Officer · 617-796-8214
Other Names
Heartlands At Ellicott City (Doing Business As)
Provider Enumeration Date
June 17, 2006
Last Update Date
June 27, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
3004 N Ridge RD
Ellicott City, MD 21043-3381
Zip
21043-3381
Phone Number
410-461-9494
Fax Number
410-461-8233
Ellicott City, MD 21043Get directions →

Provider Business Mailing Address Details

Address
400 Centre St
Newton, MA 02458-2094
City
Newton
State
MA
Zip
02458-2094
Phone Number
617-796-8387
Fax Number
617-796-8385

License Information

License Number
13AL166
License State
MD
Taxonomy
Assisted Living Facility · 310400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Five Star Ellicott City LLC?

The NPI number of Five Star Ellicott City LLC is 1992740690. It was assigned on June 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Five Star Ellicott City LLC?

Five Star Ellicott City LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in MD under license number 13AL166.

Where does Five Star Ellicott City LLC practice?

The practice location is 3004 N Ridge RD, Ellicott City, MD 21043-3381. The office can be reached at 410-461-9494 (phone) or 410-461-8233 (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 1992740690 directly on the NPPES registry website.

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