FIVE STAR REHABILITATION AND WELLNESS SERVICES LLC


Address: 900 E Southwind Rd, Springfield, IL 62703-5369
Phone: 2172410455

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Ageility Physical Therapy Solutions at Brenden Gardens Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities FIVE STAR REHABILITATION AND WELLNESS SERVICES LLC 400 Centre St, Newton, Massachusetts 02458

Office Location

Street Address 900 E SOUTHWIND RD
City SPRINGFIELD
State IL
Zip Code 62703-5369

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SPRINGFIELD
Zip Code 62703

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Dataset Information

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.

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