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Five Star Quality Care Wi LLC

Skilled Nursing Facility in Clintonville, WI · enumerated 2006 · authorized official Bruce Mackey, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649225392

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Registry record

Entity type Organization (Type 2)
Legal business name Five Star Quality Care Wi LLC
Other name <Unavail>
Parent organization Five Star Quality Care Wi LLC
Practice address 1625 E Main St, Village of Embarrass, Clintonville, WI, 54929
Fax (715) 823-1313
Enumeration date May 23, 2006
Last updated in NPPES May 19, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 3052 (WI) Primary

Authorized official

Name Bruce Mackey
Title Ceo

Other identifiers

Identifier Type State Issuer
21054400 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Five Star Quality Care Wi LLC located?
The practice location on file with NPPES is in Clintonville, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-19.