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Five Star Quality Care-Wi, LLC

NPI 1215246848ActiveOrganization· Assisted Living Facility· Kenosha, WI

Assisted Living Facility in Kenosha, Wisconsin, registered in NPPES in September 2010, part of Five Star Quality Care-Wi, LLC. The authorized official on file is Katherine E. Potter, President & Chief Executive Officer.

Overview

NPI1215246848
StatusActive
Entity typeOrganization (subpart)
Parent organizationFive Star Quality Care-Wi, LLC
NPI issuedSep 30, 2010
Last updated in NPPESMar 27, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X—WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other assisted living facilities in Kenosha

All 17 assisted living facilities in Kenosha · All assisted living facilities in Wisconsin