Active NPI
Five Star Quality Care Wi LLC
Doing business as Sunny Hill Health Care Center
- Skilled Nursing Facility
- Madison, WI
National Provider Identifier
1033164124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3054
- Legal business name
- FIVE STAR QUALITY CARE WI LLC
- Doing business as
- Sunny Hill Health Care Center
- Practice address
- 4325 Nakoma Rd
Madison, WI 53711-3706 - Phone
- (608) 271-7321
- Fax
- (608) 271-3946
- NPI assigned
- May 24, 2006
- Organization subpart
- Yes
- Parent organization
- FIVE STAR QUALITY CARE WI LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce J Mackey Jr.
- Title
- Ceo
- Phone
- (617) 796-8387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3054 | WI | Primary |
Addresses
Primary practice location
4325 Nakoma Rd
Madison, WI 53711-3706
Mailing address
400 Centre St
Newton, MA 02458
Phone (617) 796-8387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20187200 | Medicaid | WI |
Other names 1
- Sunny Hill Health Care Center
National Provider Directory
National Provider Directory- Part of
- Five Star Quality Care-Wi LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Meadowmere Madison
- Assisted Living Facility
- Madison, WI
- NPI 1205083185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1033164124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CENTRE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "02458",
"telephone_number": "617-796-8387",
"fax_number": "617-796-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 NAKOMA RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537113706",
"telephone_number": "608-271-7321",
"fax_number": "608-271-3946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR QUALITY CARE WI LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE STAR QUALITY CARE WI LLC",
"enumeration_date": "2006-05-24",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "MACKEY",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "617-796-8387",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "3054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20187200",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunny Hill Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.