FIVE STAR QUALITY CARE WI LLC (NPI# 1033164124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033164124 |
| Entity Type | Organization |
| Organization Name | FIVE STAR QUALITY CARE WI LLC |
| Other Organization Name | SUNNY HILL HEALTH CARE CENTER |
| Practice Address |
4325 Nakoma Rd Madison WI 53711-3706 |
| Mailing Address |
400 Centre St Newton MA 02458 |
| Practice Telephone | 6082717321 |
| Practice Fax Number | 6082713946 |
| Mailing Telephone | 6177968387 |
| Mailing Fax Number | 6177968375 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | BRUCE J MACKEY JR. (CEO) |
| Authorized Official Telephone | 6177968387 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR QUALITY CARE WI LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 3054 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20187200 | 05 |
| Other Name | Type Code |
|---|---|
| Sunny Hill Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518906833 | Five Star Quality Care Wi LLC | Skilled Nursing Facility | 70 Greentree Rd, Clintonville, WI 54929-1009 | 2006-06-05 |
| 1750337705 | Five Star Quality Care Wi LLC | Skilled Nursing Facility | 1451 Cleveland Ave, Waukesha, WI 53186-3876 | 2006-05-25 |
| 1770538134 | Five Star Quality Care Wi LLC | Skilled Nursing Facility | 321 Riverside Dr, Pewaukee, WI 53072-4612 | 2006-05-24 |
| 1487609178 | Five Star Quality Care Wi LLC | Skilled Nursing Facility | 18740 West Bluemound Road, Brookfield, WI 53045-2936 | 2006-05-23 |
| 1649225392 | Five Star Quality Care Wi LLC | Skilled Nursing Facility | 1625 E Main St, Village of Embarrass, Clintonville, WI 54929-9236 | 2006-05-23 |
| Street Address |
4325 NAKOMA RD |
| City | MADISON |
| State | WI |
| Zip Code | 53711-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895564 | Amanda J. Simpson | Physical Therapist | 4325 Nakoma Rd, Madison, WI 53711-3706 | 2006-03-16 |
| 1255604278 | Patricia Juffer | Speech-Language Pathologist | 4325 Nakoma Rd, Madison, WI 53711-3706 | 2012-02-22 |
| 1518276278 | Rachel Kristen Illing | Occupational Therapist | 4325 Nakoma Rd, Madison, WI 53711-3706 | 2010-09-29 |
| 1003065269 | Kathryn M Schlomer | Occupational Therapist | 4325 Nakoma Rd, Madison, WI 53711-3706 | 2008-09-12 |
| 1013193960 | Megan Marie Nell | Speech-Language Pathologist | 4325 Nakoma Rd, Madison, WI 53711-3706 | 2008-01-10 |
| 1821279886 | Vicki Bachmann | Occupational Therapist | 4325 Nakoma Rd, Madison, WI 53711-3706 | 2007-11-19 |
| 1093996050 | Denise Juve | Occupational Therapy Assistant | 4325 Nakoma Rd, Madison, WI 53711-3706 | 2007-11-19 |
| 1780875542 | Sunny Hill Health Care Center | Skilled Nursing Facility | 4325 Nakoma Rd, Madison, WI 53711-3706 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| 1356629968 | Melanie Jeannine Johnston | Skilled Nursing Facility | 248 Geneva Blvd, Madison, MS 39110-7739 | 2011-07-31 |
| 1649425034 | Krizia Villanueva | Skilled Nursing Facility | 316 S Broom St, Madison, WI 53703-4076 | 2008-11-26 |
| 1326214578 | Dylan Ponchaud | Skilled Nursing Facility | 947 E Johnson St Apt 1, Madison, WI 53703-1672 | 2008-05-07 |
| 1144493404 | Sara M Bakken | Skilled Nursing Facility | 718 Jupiter Dr, Madison, WI 53718-2950 | 2008-04-08 |
| 1982888277 | Oakwood Village East Lutheran Homes, Inc | Skilled Nursing Facility | 5833 American Pkwy, Madison, WI 53718 | 2007-12-21 |
| 1316011513 | Nc Leasing, LLC | Skilled Nursing Facility | 1308 Highway 51, Madison, MS 39110-7205 | 2006-11-20 |
| 1710056940 | Watrous Nursing Center Inc. | Skilled Nursing Facility | 9 Neck Rd, Madison, CT 06443-2819 | 2006-11-06 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.