Five Star Quality Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

211-027 Issued in WI

Legal business name

FIVE STAR QUALITY CARE

Practice address

70 Greentree Rd
Clintonville, WI 54929-1009

Phone

(715) 823-2194

Fax

(715) 823-1306

NPI assigned

Jun 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy B Brylski

Title

Certified Occupational Therapy Assi

Phone

(715) 823-7194

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1174725238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GREENTREE RD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291009",
            "telephone_number": "715-823-2194",
            "fax_number": "715-823-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GREENTREE RD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291009",
            "telephone_number": "715-823-2194",
            "fax_number": "715-823-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "BRYLSKI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPY ASSI",
        "authorized_official_telephone_number": "715-823-7194"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "211-027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40701600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erickson Home Medical Equipment LLC
• Erickson Pharmacy LLC
• Amanda Lynn Ferg, B.S., PTA
• Fetter Chiropractic SC
• Abbie Laine Fetter, DC
• Five Star Quality Care Wi LLC (Greentree Health and Rehabilitation Center)
• Five Star Quality Care Wi LLC (Pine Manor Health Care Center)
• Michelle Marie Fowler, LPN
• Lesley A Fuerst, NP-C
• Gablian Skills Development LLC

• Skilled Nursing Facility in Clintonville, WI
• Providers in Clintonville, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.