FIVE STAR REHABILITATION AND WELLNESS SERVICES LLC (NPI# 1871129338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871129338 |
Entity Type | Organization |
Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES LLC |
Practice Address |
900 E Southwind Rd Springfield IL 62703-5369 |
Practice Telephone | 2172410455 |
Practice Fax Number | 6176581772 |
Mailing Telephone | 2172410455 |
Mailing Fax Number | 6176581772 |
Enumeration Date | 2020-03-17 |
Last Update Date | 2020-03-17 |
Authorized Official Name | KATHERINE E. POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6177968350 |
Is Organization Subpart | Y |
Parent Organization Name | FIVE STAR REHABILITATION AND WELLNESS SERVICES LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ageility Physical Therapy Solutions at Brenden Gardens | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427467299 | Five Star Rehabilitation and Wellness Services LLC | Clinic/Center | 1208 S Military Trl, Five Star Rehabilitation and Wellness Services, Deerfield Beach, FL 33442-8709 | 2014-08-06 |
1952937435 | Five Star Rehabilitation and Wellness Services LLC | Clinic/Center | 516 Kenosia Ave S, Kent, WA 98030-5909 | 2020-03-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | FIVE STAR REHABILITATION AND WELLNESS SERVICES LLC | 400 Centre St, Newton, Massachusetts 02458 |
Street Address |
900 E SOUTHWIND RD |
City | SPRINGFIELD |
State | IL |
Zip Code | 62703-5369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
Find all providers in zip 62703 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221335 | Convergence Physical Therapy and Performance | Clinic/Center | 303 S 5th St Ste 140, Springfield, OR 97477-5480 | 2020-10-01 |
1275146474 | Beyond Recovery Physical Therapy, LLC | Clinic/Center | 2627 E Horning St, Springfield, MO 65802-2372 | 2020-08-26 |
1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
1043836588 | Martin Ventures LLC | Clinic/Center | 3119 S Scenic Ave Ste B, Springfield, MO 65807-3965 | 2020-06-21 |
1992262554 | Agilitas Usa, Inc | Clinic/Center | 3556 Tom Austin Hwy Ste 2, Springfield, TN 37172-3960 | 2019-03-01 |
1336656461 | Back and Body Pain Relief LLC | Clinic/Center | 355 Route 22 Ste D, Springfield, NJ 07081-3511 | 2018-01-10 |
1699142828 | Alissa Slater | Clinic/Center | 7912 Journey Ln, Springfield, VA 22153-2725 | 2015-08-24 |
1801189121 | Physiotherapy Associates Inc | Clinic/Center | 1739 Allen St, Springfield, MA 01118-1805 | 2011-05-19 |
1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62703 |
Please comment or provide details below to improve the information on FIVE STAR REHABILITATION AND WELLNESS SERVICES LLC.
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.