Organization · Type 2 NPI

Five Star Quality Care Wi LLC

Skilled Nursing Facility · Waukesha, WI

NPI number 1750337705 Active

Practice location

1451 Cleveland Ave
Waukesha, WI 53186-3876

Fax (262) 547-6204

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	3059 (WI)

Skilled Nursing Facility: (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

15 other providers at this address

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NPI record

NPI: 1750337705
Entity type: Organization (Type 2)
Issued: May 25, 2006
Last updated: Mar 27, 2019
Status: Active
Subpart: Yes of Five Star Quality Care Wi LLC

Other names

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Virginia Health and Rehabilitation Center · doing business as
Virginia Health and Rehabilitation Center · doing business as

Authorized official

Katherine E Potter
President & Chief Executive Officer
(617) 796-8387

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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 1750337705

Five Star Quality Care Wi LLC's National Provider Identifier is 1750337705, issued on May 25, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Waukesha, WI. The record was last updated on Mar 27, 2019.