FIVE STAR ADULT DAY CARE (NPI# 1508123498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508123498 |
| Entity Type | Organization |
| Organization Name | FIVE STAR ADULT DAY CARE |
| Practice Address |
4401 Foard St Fort Worth TX 76119-3305 |
| Practice Telephone | 8172960782 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | MARVA DENISE MITCHELL (OWNER) |
| Authorized Official Telephone | 8172960782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
4401 FOARD ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164913752 | Chelsea Lajuan Whitehead | Clinic/Center | 237 Hallbrook Dr, Fort Worth, TX 76134-3931 | 2018-05-20 |
| 1720515059 | David Leon Mims | Clinic/Center | 1412 Roma Ln, Fort Worth, TX 76134-2304 | 2017-05-17 |
| 1316497118 | G Roberts Adult Day Care | Clinic/Center | 150 S Beach St # A, Fort Worth, TX 76105-1162 | 2016-10-05 |
| 1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
| 1861709594 | Southside Adult Daycare Center, Inc. | Clinic/Center | 1700 South Fwy, Fort Worth, TX 76104-5078 | 2010-09-01 |
| 1659555738 | Northside Adult Daycare Center, Inc. | Clinic/Center | 1401 Clinton Ave, Fort Worth, TX 76106 | 2007-12-24 |
| 1922287655 | D. B. Montgomery Choice, LLC | Clinic/Center | 4131 Hardeman St, Fort Worth, TX 76119-3636 | 2007-10-30 |
| 1730593476 | Pci Adult Daycare, LLC | Clinic/Center | 6050 Harris Pkwy, Fort Worth, TX 76132-4102 | 2014-06-19 |
| 1619231974 | Heritage East Adult Daycare Center, Inc. | Clinic/Center | 150 S Beach St, Fort Worth, TX 76105-1162 | 2012-07-01 |
| 1194912352 | Heritage Adult Day Health Services, Inc. | Clinic/Center | 150 S Beach St, Suite A, Fort Worth, TX 76105-1162 | 2007-10-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on FIVE STAR ADULT DAY CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.