OrganizationActive
Five Star Quality Care Wi LLC
NPI 1750337705 · Skilled Nursing Facility · Waukesha, WI
Provider details
- NPI number
- 1750337705
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Five Star Quality Care Wi LLC
- Organization subpart
- Yes
- Authorized official
- Katherine Potter, President & Chief Executive Officer(617) 796-8387
- License
- 3059 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1451 Cleveland Ave
Waukesha, WI 53186-3876
Phone: (262) 547-2123
Fax: (262) 547-6204
Street-level locationGet directions
Mailing address
1451 Cleveland Ave
Waukesha, WI 53186-3876
Other names (DBA / former)
- Doing business as
- Virginia Health and Rehabilitation Center
- Doing business as
- Virginia Health and Rehabilitation Center
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2019-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.