Five Star Quality Care-Az, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALC4296 Issued in AZ

Legal business name

FIVE STAR QUALITY CARE-AZ, LLC

Practice address

265 E 24TH St
Yuma, AZ 85364-8546

Phone

(928) 344-8680

Fax

(928) 344-4985

NPI assigned

Jun 9, 2006

Organization subpart

Yes

Parent organization

FIVE STAR QUALITY CARE-AZ, 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

• SunQuest Village of Yuma Doing business as

Part of

Five Star Quality Care-Az LLC

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1669413613",
    "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": "265 E 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648546",
            "telephone_number": "928-344-8680",
            "fax_number": "928-344-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY CARE-AZ, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR QUALITY CARE-AZ, LLC",
        "enumeration_date": "2006-06-09",
        "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": "AZ",
            "license": "ALC4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunQuest Village of Yuma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisett Figueroa, LPC
• Hannah Jo Finnegan
• Aaron Moises Fitch, BHT, CCTS-I
• Marysheila Ann Fitzgerald, MA AUDC FAAA FADA
• Five Star Quality Care-Az LLC
• Anne Paetra Flanagan, DNP, AGACNP-BC
• John R. Fletcher, MD
• Sharon Burcar Flint, PTA
• Ana Laura Flores, OTR/L, MSOT
• Jocelyn Flores, RN

• Assisted Living Facility in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Assisted Living Facility in Arizona

• 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.