Five Star Quality Care - MN, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

339489 Issued in MN

Legal business name

FIVE STAR QUALITY CARE - MN, LLC

Doing business as

The WEllstead of Rogers

Practice address

20600 S Diamond Lake Rd
Rogers, MN 55374-4515

Phone

(763) 428-1981

Fax

(763) 428-3792

NPI assigned

Apr 3, 2008

Last updated

Apr 3, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR QUALITY CAR - MN, LLCAs reported in NPPES

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

Authorized official

Name

Bruce Mackey

Title

Cfo

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• The WEllstead of Rogers Doing business as

Part of

Five Star Quality Care - MN LLC

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1396918918",
    "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": "617-793-8387",
            "fax_number": "617-796-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 S DIAMOND LAKE RD",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744515",
            "telephone_number": "763-428-1981",
            "fax_number": "763-428-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE - MN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CAR - MN, LLC",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MN",
            "license": "339489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The WEllstead of Rogers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Joelle Fallert, DPT
• Gelgelu B Felema, RN
• Michelle Cheryl Finnegan-Larson, RN
• First Choice Residential
• First Choice Residential LLC (First Choice Residential)
• Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at The Wellstead of Rogers)
• Forefront Dermatology, S.C.
• Sydney Fournier-Dingmann
• Janelle France
• Gregory J Frane, M.D.

• Alzheimer Center (Dementia Center) in Rogers, MN
• Providers in Rogers, MN by specialty
• Alzheimer Center (Dementia Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.