Organization · Type 2 NPI

Five Star Quality Care - Va, LLC

Assisted Living Facility · Poquoson, VA

NPI number 1801839089 Active

Practice location

531 Wythe Creek Rd
Poquoson, VA 23662-1562

Call (757) 868-0335 Map

Fax (757) 874-6919

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	PLO-04-159 (VA)

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.

2 other providers at this address

Other assisted living facility providers in Poquoson

See all in Poquoson →

NPI record

NPI: 1801839089
Entity type: Organization (Type 2)
Issued: Jun 14, 2006
Last updated: Jun 27, 2016
Status: Active
Subpart: Yes of Five Star Quality Care - Va, LLC

Other names

<unavail>
Dominion Village at Poquoson · 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.

Is this your record? How to update it.

About NPI 1801839089

Five Star Quality Care - Va, LLC's National Provider Identifier is 1801839089, issued on Jun 14, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Poquoson, VA. The record was last updated on Jun 27, 2016.