Five Star Quality Care Wi Llc in Clintonville - Skilled Nursing Facility
Five Star Quality Care Wi Llc - NPI 1649225392
Five Star Quality Care Wi Llc is a Skilled Nursing Facility in Clintonville, Wisconsin. Five Star Quality Care Wi Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Five Star Quality Care Wi Llc is 1649225392. The last update date is 2008-05-19.
Five Star Quality Care Wi Llc's current location address is 1625 E Main St, Clintonville, Wisconsin. You can contact this provider via phone number 7158233135 and fax number 7158231313. The mailing address for Five Star Quality Care Wi Llc is 1625 E Main St, Clintonville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Five Star Quality Care Wi Llc |
|---|---|
| Address | 1625 E Main St, Clintonville, Wisconsin |
| Phone Number | 7158233135 |
| Fax Number | 7158231313 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mackey J Bruce |
| Telephone Number | 6177968387 |
NPI Number Detail
| NPI Number | 1649225392 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2008-05-19 |
Provider Mailing Address Detail
| Address | 1625 E Main St |
|---|---|
| City | Clintonville |
| State | Wisconsin (WI) |
| Post Code | 549299236 |
| Phone Number | 7158233135 |
| Fax Number | 7158231313 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 3052 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21054400 | WI | -- |
Post Comment/ Review Below
What is the Five Star Quality Care Wi Llc's 1649225392?
The Five Star Quality Care Wi Llc's NPI (National Provider Identifier) Number is 1649225392. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Five Star Quality Care Wi Llc's facilities are situated?
The facilities of Five Star Quality Care Wi Llc are physically located at the following address: 1625 E Main St, Clintonville, WI, 549299236.
What is the area of specialization for Five Star Quality Care Wi Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Five Star Quality Care Wi Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date was the 1649225392 assigned to Five Star Quality Care Wi Llc?
The Five Star Quality Care Wi Llc was issued its 1649225392 on 2006-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Five Star Quality Care Wi Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Five Star Quality Care Wi Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-19.