Fve MW LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FVE MW LLC

Practice address

250 Shenandoah Drive
Lafayette, IN 47905

Phone

(765) 449-4475

Fax

(765) 447-7290

NPI assigned

Nov 21, 2006

Organization subpart

Yes

Parent organization

FVE MW LLCAs reported in NPPES

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

Authorized official

Name

Katherine E. Potter

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other names 1

• Five Star Residences of Lafayette Doing business as

Tax ID family

Fve MW LLC3 organizations share this tax ID, including this one

Part of

Fve MW LLC

Other organizations with this tax ID 2

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

• Fve MW LLC

  • Assisted Living Facility
  • Noblesville, IN
  • NPI 1932274438
  NPD tax ID
• Fve MW LLC

  • Assisted Living Facility
  • Janesville, WI
  • NPI 1689983793
  NPD tax ID

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1437224029",
    "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": "250 SHENANDOAH DRIVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-449-4475",
            "fax_number": "765-447-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FVE MW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FVE MW LLC",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "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"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Residences of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Fumo Jr., MD
• Fundamental Health, Inc
• Shana K Funk, LMSW
• Linda S Furseth, MS, LPC
• Emily Ann Fusiek, BSN, RN
• FX Services of Lafayette, Inc.
• Valentina Gacharna Torres
• Antonio Gaeta, PT
• Juliana Rae Gaeta, M.D.
• Robert Charles Gagen, LCAC

• Assisted Living Facility in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.