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Five Star Quality Care-Wi, LLC

NPI 1417944612ActiveOrganization· Skilled Nursing Facility· West Allis, WI

Skilled Nursing Facility in West Allis, Wisconsin, registered in NPPES in October 2005, part of Five Star Quality Care-Wi, LLC. The authorized official on file is Katherine E. Potter, President & Chief Executive Officer.

Overview

NPI1417944612
StatusActive
Entity typeOrganization (subpart)
Parent organizationFive Star Quality Care-Wi, LLC
NPI issuedOct 3, 2005
Last updated in NPPESMar 27, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X3181WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 Skilled Nursing Facility providers in West Allis

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