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Five Star Ellicott City LLC

NPI 1992740690ActiveOrganization· Assisted Living Facility· Ellicott City, MD

Assisted Living Facility in Ellicott City, Maryland, registered in NPPES in June 2006, part of Five Star Ellicott City LLC. The authorized official on file is Bruce J. Mackey, President & Chief Executive Officer.

Overview

NPI1992740690
StatusActive
Entity typeOrganization (subpart)
Parent organizationFive Star Ellicott City LLC
NPI issuedJun 17, 2006
Last updated in NPPESJun 27, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X13AL166MD

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

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