NPIMap

Organization Active NPI

Five Star Quality Care-Colorado LLC

Doing business as La Villa Grande Care Center

  • Respite Care
  • Grand Junction, CO
National Provider Identifier
1629578968
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
FIVE STAR QUALITY CARE-COLORADO LLC
Doing business as
La Villa Grande Care Center
Practice address
2501 Little Bookcliff Dr
Grand Junction, CO 81501-8802
Phone
(970) 245-1211
Fax
(970) 245-4437
NPI assigned
Feb 13, 2018
Last updated
Feb 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FIVE STAR QUALITY CARE-COLORADO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X CO Primary

Addresses

Primary practice location

2501 Little Bookcliff Dr
Grand Junction, CO 81501-8802

Mailing address

2501 Little Bookcliff Dr
Grand Junction, CO 81501-8802

Other names 1

  • La Villa Grande Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Five Star Quality Care-Colorado LLC7 organizations share this tax ID, including this one
Part of
Five Star Quality Care-Colorado LLC

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1629578968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LITTLE BOOKCLIFF DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LITTLE BOOKCLIFF DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018802",
            "telephone_number": "970-245-1211",
            "fax_number": "970-245-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE-COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-COLORADO LLC",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "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": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Villa Grande Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.