FIVE STAR ELLICOTT CITY LLC NPI 1992740690

NPI Information

  • NPI: 1992740690
  • Provider Name: FIVE STAR ELLICOTT CITY LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: HEARTLANDS AT ELLICOTT CITY
  • Address: 3004 N RIDGE RD
    ELLICOTT CITY, MD
    ZIP 21043
  • Phone: (410) 461-9494

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NPI Details

FIVE STAR ELLICOTT CITY LLC is an assisted living facility in Ellicott City, MD. 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 ELLICOTT CITY LLC NPI is 1992740690. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartlands At Ellicott City.

The provider's business location address is:

3004 N RIDGE RD
ELLICOTT CITY, MD
ZIP 21043-381
Phone: (410) 461-9494
Fax: (410) 461-8233

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 6/17/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility13AL166MARYLANDYes

What is NPI?

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This page was last updated on: 11/21/2025

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