Organization Active NPI

Fve MW LLC

Doing business as Huntington Place Senior Living

  • Assisted Living Facility
  • Janesville, WI
National Provider Identifier
1689983793
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FVE MW LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1015447Huntington Place,3801 N Wright Road, Janesville, WI 53546Certificate of waiverJul 30, 2027
52D2013588Huntington Place,3801 North Wright Rd, Janesville, WI 53546Certificate of waiverSep 21, 2026
52D2013594Huntington Place,3801 North Wright Rd, Janesville, WI 53546Certificate of waiverSep 21, 2026
52D2013599Huntington Place,3801 North Wright Rd, Janesville, WI 53546Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory
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.

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.

Verify at the official NPI Registry.