Provider Type Icon

FIVE STAR QUALITY CARE - VA LLC NPI 1801839089


NPI Information

NPI: 1801839089
Provider Name: FIVE STAR QUALITY CARE - VA, LLC

Doing Business As: DOMINION VILLAGE AT POQUOSON

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
531 WYTHE CREEK RD
POQUOSON, VA
ZIP 23662
Phone: (757) 868-0335
Get Directions

FIVE STAR QUALITY CARE - VA, LLC is an assisted living facility in Poquoson, 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 1801839089. The provider is registered as an organization entity type.
The provider Is Doing Business As Dominion Village At Poquoson.

The provider's business location address is:

531 WYTHE CREEK RD
POQUOSON, VA
ZIP 23662-562
Phone: (757) 868-0335
Fax: (757) 874-6919

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 6/14/2006 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 FacilityPLO-04-159VIRGINIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.