Organization · Type 2 NPI

Five Star Quality Care-Ga, LLC

Assisted Living Facility · Tucker, GA

NPI number 1740229707 Active

Practice location

1300 Montreal Rd
Tucker, GA 30084-8141

Call (770) 934-0034 Map

Fax (770) 934-0055

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	044-03-019-1 (GA)

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.

Another provider at this address

SNH Georgia Tenant LLCAssisted Living Facility Tucker, GA NPI 1265089379

Other assisted living facility providers in Tucker

See all in Tucker →

NPI record

NPI: 1740229707
Entity type: Organization (Type 2)
Issued: Jun 5, 2006
Last updated: Jun 27, 2016
Status: Active
Subpart: Yes of Five Star Quality Care-Ga, LLC

Other names

<unavail>
Northlake Gardens · doing business as

Authorized official

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

Verify this record

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 1740229707

Five Star Quality Care-Ga, LLC's National Provider Identifier is 1740229707, issued on Jun 5, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Tucker, GA. The record was last updated on Jun 27, 2016.