Organization Active NPI

Five Star Newport News, LLC

  • Assisted Living Facility
  • Newport News, VA
National Provider Identifier
1770522096
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ERO 2010-026
Legal business name
FIVE STAR NEWPORT NEWS, LLC
Doing business as
Morningside of Newport News
Practice address
655 Denbigh Blvd
Newport News, VA 23608-4478
Phone
(757) 890-0905
Fax
(757) 890-9677
NPI assigned
Jun 5, 2006
Organization subpart
Yes
Parent organization
FIVE STAR NEWPORT NEWS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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
Assisted Living Facility 310400000X ERO 2010-026 Primary

Addresses

Primary practice location

655 Denbigh Blvd
Newport News, VA 23608-4478

Mailing address

400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387

Other names 1

  • Morningside of Newport News Doing business as

National Provider Directory

National Provider Directory
Part of
Five Star Newport News LLC

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1770522096",
    "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": "655 DENBIGH BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084478",
            "telephone_number": "757-890-0905",
            "fax_number": "757-890-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR NEWPORT NEWS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR NEWPORT NEWS, LLC",
        "enumeration_date": "2006-06-05",
        "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": null,
            "license": "ERO 2010-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Newport News",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • 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.