Five Star Quality Care-Mi LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

634450 Issued in MI

Legal business name

FIVE STAR QUALITY CARE-MI LLC

Doing business as

Farmington Health Care Center

Practice address

34225 Grand River Ave
Farmington, MI 48335-3440

Phone

(248) 477-7373

Fax

(248) 477-2888

NPI assigned

May 24, 2006

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR QUALITY CARE-MI LLCAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Farmington Health Care Center Doing business as

Tax ID family

Farmington Health Care Center2 organizations share this tax ID, including this one

Part of

Five Star Quality Care-Mi LLC

Other organizations with this tax ID 1

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

• Farmington Nursing, LLC

  dba White Pine Rehabilitation & Healthcare of Farmington

  • Skilled Nursing Facility
  • Farmington, MI
  • NPI 1841533973
  NPD tax ID

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1336194612",
    "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": "024582094",
            "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": "34225 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483353440",
            "telephone_number": "248-477-7373",
            "fax_number": "248-477-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE-MI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-MI LLC",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-05-29",
        "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": "MI",
            "license": "634450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4292558/60   & 42925",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farmington Nursing, LLC (White Pine Rehabilitation & Healthcare of Farmington)
• Farmington Nursing, LLC (White Pine Rehabilitation & Healthcare of Farmington)
• Farmington Opco LLC (Medilodge of Farmington)
• Farmington Opco LLC (Medilodge of Farmington)
• Farmington Village Pharmacy PLLC (BioMed Specialty Pharmacy - Farmington)
• Five Star Quality Care-Mi, LLC (Farmington Health Care Center)
• Flourish Psychological Services PLLC
• Focus Point Diagnostics LLC
• Michele Marita Foxworthy, D.C.
• Robert Foxworthy, BS DC

• Skilled Nursing Facility in Farmington, MI
• Providers in Farmington, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.