MORNINGSIDE OF CHARLOTTESVILLE
NPI 1881633105
Assisted Living Facility in Charlottesville, VA

Q: What is Five Star Morningside Charlottesville LLC's specialty?

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

Active since June 05, 2006CLIA 49D2169573 · Waiver

491 CRESTWOOD DR, CHARLOTTESVILLE, VA 22903(434) 971-8889(434) 971-7889 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Morningside Of Charlottesville NPPES

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

MORNINGSIDE OF CHARLOTTESVILLE (NPI 1881633105) is a healthcare organization registered as an assisted living facility in Charlottesville, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Bruce J Mackey, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1881633105

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFIVE STAR MORNINGSIDE CHARLOTTESVILLE LLC

Location Address491 CRESTWOOD DRCharlottesville, VA 22903-4869

Mailing Address400 Centre StNewton, MA 02458-2094 · (617) 796-8387 · Fax (617) 796-8385

Phone(434) 971-8889

Fax(434) 971-7889

Organization SubpartYes

Authorized OfficialBruce J MackeyPresident & Chief Executive Officer · (617) 796-8214

Enumeration DateJune 5, 2006

Last NPPES UpdateJune 27, 2016

✔ NPI 1881633105 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 VA · VLO-05-125

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.

491 CRESTWOOD DR, Charlottesville, VA 22903

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Other Names 1

Doing Business AsMorningside Of Charlottesville

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2169573

Morningside Of Charlottesville · Charlottesville, VA

Active · expires Jul 22, 2027

CLIA Number49D2169573

Laboratory TypeAssisted Living Facility

Certificate Effective DateJuly 23, 2025

Certificate Expiration DateJuly 22, 2027

Laboratory DirectorApril A. Eldridge

Laboratory Phone(434) 971-8889

Laboratory LocationMorningside Of Charlottesville491 Crestview Dr, Charlottesville, VA 22903

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. KELLI COFFIN

Physical Therapist