Active NPI
Fve MW LLC
Doing business as Huntington Place Senior Living
- Assisted Living Facility
- Janesville, WI
National Provider Identifier
1689983793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FVE MW LLC
- Doing business as
- Huntington Place Senior Living
- Practice address
- 3801 North Wright Road
Janesville, WI 53546 - Phone
- (608) 868-5035
- NPI assigned
- Oct 7, 2010
- Last updated
- Oct 4, 2024
- Organization subpart
- Yes
- Parent organization
- FVE MW LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey C Leer
- Title
- President & Chief Executive Officer
- Phone
- (617) 796-8387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
3801 North Wright Road
Janesville, WI 53546
Mailing address
255 Washington St Ste 230
Newton, MA 02458-1644
Phone (617) 796-8387
Other names 1
- Huntington Place Senior Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1015447 | Huntington Place, | Certificate of waiver | Jul 30, 2027 |
| 52D2013588 | Huntington Place, | Certificate of waiver | Sep 21, 2026 |
| 52D2013594 | Huntington Place, | Certificate of waiver | Sep 21, 2026 |
| 52D2013599 | Huntington Place, | Certificate of waiver | Sep 21, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Fve MW LLC
- 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.
-
dba Five Star Residences of Lafayette
- Assisted Living Facility
- Lafayette, IN
- NPI 1437224029
-
dba Five Star Residences of Noblesville
- Assisted Living Facility
- Noblesville, IN
- NPI 1932274438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1689983793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 WASHINGTON ST STE 230",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581644",
"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": "3801 NORTH WRIGHT ROAD",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "53546",
"telephone_number": "608-868-5035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FVE MW LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FVE MW LLC",
"enumeration_date": "2010-10-07",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "LEER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "C",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Huntington Place Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.