Five Star Morningside Bellgrade LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CLO-10-1104165 Issued in VA

Legal business name

FIVE STAR MORNINGSIDE BELLGRADE LLC

Doing business as

Morningside of Bellgrade

Practice address

2800 Polo Pkwy
Midlothian, VA 23113-1486

Phone

(804) 379-2800

Fax

(804) 378-0174

NPI assigned

Jun 5, 2006

Organization subpart

Yes

Parent organization

FIVE STAR MORNINGSIDE BELLGRADE 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

President & Chief Executive Officer

Phone

(617) 796-8214

Specialties & licenses 1

Addresses

Other names 1

• Morningside of Bellgrade Doing business as

Part of

Five Star Morningside Bellgrade LLC

Locations

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1346289667",
    "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": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 POLO PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131486",
            "telephone_number": "804-379-2800",
            "fax_number": "804-378-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR MORNINGSIDE BELLGRADE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR MORNINGSIDE BELLGRADE LLC",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "CLO-10-1104165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Bellgrade",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda K Fish
• Kara Sutton French Fisher, FNP-BC
• Kimberly Suzanne Fisher, M.A., CCC-A
• Brian A Fishero, MD
• Timothy Fitzpatrick, RD
• Chad M Flanagan, D.D.S.
• Mark A Flanzenbaum, M.D.
• Maureen P Flattery, NP
• Bonnie Lee Fleet, O.T.R.
• Pamela Fleming

• Assisted Living Facility in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.