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FIVE STAR QUALITY CARE - VA LLC NPI 1780626010


NPI Information

NPI: 1780626010
Provider Name: FIVE STAR QUALITY CARE - VA, LLC

Doing Business As: DOMINION VILLAGE AT CHESAPEAKE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2856 FOREHAND DR
CHESAPEAKE, VA
ZIP 23323
Phone: (757) 487-9400
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FIVE STAR QUALITY CARE - VA, LLC is an assisted living facility in Chesapeake, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FIVE STAR QUALITY CARE - VA, LLC NPI is 1780626010. The provider is registered as an organization entity type.
The provider Is Doing Business As Dominion Village At Chesapeake.

The provider's business location address is:

2856 FOREHAND DR
CHESAPEAKE, VA
ZIP 23323-006
Phone: (757) 487-9400
Fax: (757) 487-7309

The provider's authorized official is Bruce J Mackey .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (617) 796-8214.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 6/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityFLO02004-569VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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