Organization · Type 2 NPI

Five Star Quality Care Wi LLC

Skilled Nursing Facility · Pewaukee, WI

NPI number 1770538134 Active

Practice location

321 Riverside Dr
Pewaukee, WI 53072-4612

Fax (262) 691-2184

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	3058 (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…

7 other providers at this address

NPI record

NPI: 1770538134
Entity type: Organization (Type 2)
Issued: May 24, 2006
Last updated: Apr 22, 2016
Status: Active
Subpart: Yes of Five Star Quality Care Wi LLC

Other names

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River Hills West Health Care Center · 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 1770538134

Five Star Quality Care Wi LLC's National Provider Identifier is 1770538134, issued on May 24, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Pewaukee, WI. The record was last updated on Apr 22, 2016.