Five Star Frederick Heartfields LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

WLO-10-1104164 Issued in VA

Legal business name

FIVE STAR FREDERICK HEARTFIELDS LLC

Doing business as

HeartFields at Fredericksburg

Practice address

20 Heartfields LN
Fredericksburg, VA 22405-2368

Phone

(540) 373-8800

Fax

(540) 373-8853

NPI assigned

Jun 12, 2006

Last updated

Jun 27, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR FREDERICK HEARTFIELDS 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

• HeartFields at Fredericksburg Doing business as

Part of

Five Star Frederick Heartfields LLC

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1841232212",
    "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": "20 HEARTFIELDS LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052368",
            "telephone_number": "540-373-8800",
            "fax_number": "540-373-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR FREDERICK HEARTFIELDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR FREDERICK HEARTFIELDS LLC",
        "enumeration_date": "2006-06-12",
        "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": "VA",
            "license": "WLO-10-1104164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HeartFields at Fredericksburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanora Fisher, CNP
• Raven Fitch, MT
• Monica Fitzgerald, DPT
• Morgan Minter Fitzgerald
• Amanda Gail Fitzpatrick, MSW
• Julie Anne Flanagan, CNM
• Benjamin Fleenor, OTR
• Kenyah Fletcher
• Flexmed PLLC
• Ana Flores, RBT

• Assisted Living Facility in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Assisted Living Facility in Virginia

• 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.