OrganizationActive
Five Star Northshore LLC
NPI 1154563435 · Assisted Living Facility · Mequon, WI
Provider details
- NPI number
- 1154563435
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Five Star Northshore LLC
- Organization subpart
- Yes
- Authorized official
- Bruce Mackey, President & Chief Executive Officer(617) 796-8214
- License
- 0013000 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10803 N Port Washington Rd
Mequon, WI 53092-5085
Phone: (262) 478-2200
Street-level locationGet directions
Mailing address
400 Centre St
Newton, MA 02458-2094
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2016-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.