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FIVE STAR NORTHSHORE LLC
NPI 1154563435
Assisted Living Facility in Mequon, WI

Active since April 01, 2009
10803 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 478-2200 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Five Star Northshore Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVE STAR NORTHSHORE LLC (NPI 1154563435) is a healthcare organization registered as an assisted living facility in Mequon, Wisconsin and active in the NPI registry since April 2009. The organization lists Bruce J. Mackey, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1154563435
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR NORTHSHORE LLC
Location Address10803 N PORT WASHINGTON RDMequon, WI 53092-5085
Mailing Address400 Centre StNewton, MA 02458-2094
Phone(262) 478-2200
Organization SubpartYes
Authorized OfficialBruce J. MackeyPresident & Chief Executive Officer · (617) 796-8214
Enumeration DateApril 1, 2009
Last NPPES UpdateMay 13, 2016
✔ NPI 1154563435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in WI · 0013000
Definition
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.
10803 N PORT WASHINGTON RD, Mequon, WI 53092
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SNH WIS TENANT LLC
Assisted Living Facility
10803 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 478-2200
PRO FITNESS & REHAB, SC
Clinic/Center (Physical Therapy)
10803 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 689-8185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Five Star Northshore LLC's NPI number?

The NPI number for Five Star Northshore LLC is 1154563435. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Five Star Northshore LLC located?

Five Star Northshore LLC is located at 10803 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 478-2200.

What is Five Star Northshore LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Five Star Northshore LLC was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.