Five Star Morningside Charlottesville LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

VLO-05-125 Issued in VA

Legal business name

FIVE STAR MORNINGSIDE CHARLOTTESVILLE LLC

Doing business as

Morningside of Charlottesville

Practice address

491 Crestwood Dr
Charlottesville, VA 22903-4869

Phone

(434) 971-8889

Fax

(434) 971-7889

NPI assigned

Jun 5, 2006

Organization subpart

Yes

Parent organization

FIVE STAR MORNINGSIDE CHARLOTTESVILLE 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

• Morningside of Charlottesville Doing business as

Part of

Five Star Morningside Charlottesville LLC

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": "1881633105",
    "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": "491 CRESTWOOD DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034869",
            "telephone_number": "434-971-8889",
            "fax_number": "434-971-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR MORNINGSIDE CHARLOTTESVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR MORNINGSIDE CHARLOTTESVILLE 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": "VA",
            "license": "VLO-05-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Charlottesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah R. Fishel, ESQ, PHD
• Charles A. Fisher, R.N., N.P.
• Mary Alice Fisher, PH.D.
• Chalotte Fitch, P.T.
• Cawood Fitzhugh, N.P.
• Jennifer Weatherford Fjeseth, MED, LAT, ATC, CES
• Molly Flannagan, MD
• Sean Flannery, PHD
• Anna Flebotte, DPT
• Micah Fleitman, LPC

• Assisted Living Facility in Charlottesville, VA
• Providers in Charlottesville, 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.