Organization · Type 2 NPI

Five Star Ellicott City LLC

Assisted Living Facility · Ellicott City, MD

NPI number 1992740690 Active

Practice location

3004 N Ridge Rd
Ellicott City, MD 21043-3381

Call (410) 461-9494 Map

Fax (410) 461-8233

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	13AL166 (MD)

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.

3 other providers at this address

Other assisted living facility providers in Ellicott City

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NPI record

NPI: 1992740690
Entity type: Organization (Type 2)
Issued: Jun 17, 2006
Last updated: Jun 27, 2016
Status: Active
Subpart: Yes of Five Star Ellicott City LLC

Other names

<unavail>
Heartlands at Ellicott City · 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 1992740690

Five Star Ellicott City LLC's National Provider Identifier is 1992740690, issued on Jun 17, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Ellicott City, MD. The record was last updated on Jun 27, 2016.