Five Star Rio Las Palmas LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

397004515

Legal business name

FIVE STAR RIO LAS PALMAS LLC

Doing business as

The Courtyard at Rio Las Palmas

Practice address

877 E March LN
Stockton, CA 95207-5800

Phone

(209) 957-4711

Fax

(209) 957-1407

NPI assigned

Jun 12, 2006

Last updated

Jun 27, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR RIO LAS PALMAS 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

• The Courtyard at Rio Las Palmas Doing business as

Part of

Five Star Rio Las Palmas LLC

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1376585604",
    "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": "877 E MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075800",
            "telephone_number": "209-957-4711",
            "fax_number": "209-957-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR RIO LAS PALMAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR RIO LAS PALMAS LLC",
        "enumeration_date": "2006-06-12",
        "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": null,
            "license": "397004515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Courtyard at Rio Las Palmas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherie Diana Fiscus, D.D.S.
• Gary Earl Fiscus, D.D.S.
• Allison Kelley Fitz
• Sharee Fitzgerald
• Five Star Quality Care-Ca II LLC (La Salette Health and Rehabilitation Center)
• Deborah Sue Flanary
• Liandra Victoria Fleming
• Brooke Nicole Fletcher
• Kaelin Sierra Fletcher
• Amanda Sue Flolo

• Assisted Living Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Assisted Living Facility in California

• 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.