Organization · Type 2 NPI

Five Star Quality Care-Il, LLC

Assisted Living Facility · Rockford, IL

NPI number 1194013367 Active

Practice location

7130 Crimson Ridge Dr
Rockford, IL 61107-6222

Call (815) 398-7792 Map

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

7 other providers at this address

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NPI record

NPI: 1194013367
Entity type: Organization (Type 2)
Issued: Jul 21, 2011
Last updated: Jun 27, 2016
Status: Active
Subpart: Yes of Five Star Quality Care-Il, LLC

Other names

<unavail>
Crimson Pointe · doing business as

Authorized official

Bruce J Mackey
President & Chief Executive Officer
(617) 796-8214

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194013367

Five Star Quality Care-Il, LLC's National Provider Identifier is 1194013367, issued on Jul 21, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Rockford, IL. The record was last updated on Jun 27, 2016.