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Five Star Quality Care Wi LLC

Skilled Nursing Facility in Pewaukee, WI · enumerated 2006 · authorized official Bruce Mackey, President & Chief Executive Officer.

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

National Provider Identifier

1770538134

Verified

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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 321 Riverside Dr, Pewaukee, WI, 53072
Phone (262) 691-2300
Fax (262) 691-2184
Enumeration date May 24, 2006
Last updated in NPPES Apr 22, 2016

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 3058 (WI) Primary

Authorized official

Name Bruce Mackey
Title President & Chief Executive Officer
Phone (617) 796-8214

Other identifiers

Identifier Type State Issuer
20186900 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 Pewaukee, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-04-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-22.