NPIMap

Organization Active NPI

Five Star Quality Care - Wi

  • Assisted Living Facility
  • Madison, WI
National Provider Identifier
1205083185
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12218 Issued in WI
Legal business name
FIVE STAR QUALITY CARE - WI
Practice address
5601 Burke Rd
Madison, WI 53718-6303
Phone
(608) 268-9100
Fax
(608) 268-9414
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Ms. Katherine E Potter
Title
President & Chief Executive Officer
Phone
(617) 796-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12218 WI Primary

Addresses

Primary practice location

5601 Burke Rd
Madison, WI 53718-6303

Mailing address

5601 Burke Rd
Madison, WI 53718-6303
Phone (608) 268-9100

Other names 1

  • Meadowmere Madison Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care-Wi LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1205083185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 BURKE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537186303",
            "telephone_number": "608-268-9100",
            "fax_number": "608-268-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BURKE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537186303",
            "telephone_number": "608-268-9100",
            "fax_number": "608-268-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE - WI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "12218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowmere Madison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meadowmere Madison",
            "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 Mar 27, 2019; 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.