FIVE STAR QUARTERS INC. (NPI# 1609045558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609045558 |
| Entity Type | Organization |
| Organization Name | FIVE STAR QUARTERS INC. |
| Other Organization Name | FIVE STAR QUARTERS |
| Practice Address |
4023 Mehalia Dr Dallas TX 75241-5253 |
| Mailing Address |
4023 Mehalia Drive Dallas TX 75241 |
| Practice Telephone | 9722258872 |
| Mailing Telephone | 9722258872 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | MR. PAUL DONALD LOVE (MANAGER) |
| Authorized Official Telephone | 9722258872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 122690 | TX | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Five Star Quarters | Other Name - Individual/Organization |
| Street Address |
4023 MEHALIA DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75241-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888777 | Sonya Williams | Licensed Practical Nurse | 3481 Pinebrock Dr, Dallas, TX 75241 | 2020-07-15 |
| 1346700259 | Angel Vales | Counselor | 5520 Langdon Rd, Dallas, TX 75241 | 2019-03-25 |
| 1144708611 | Brandie L Mccray | Counselor | 155 Idlewheat Ln, Dallas, TX 75241 | 2018-08-06 |
| 1649792144 | Jessica Franco Skinner | Social Worker | 5520 Langdon Rd., Suite B, C/o Wilmer Hutchins Youth and Family Center, Dallas, TX 75241 | 2017-07-17 |
| 1659790756 | Michele S Gomez | Technician | 3984 Texas College Drive, Dallas, TX 75241 | 2014-04-16 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1447561394 | Tricia Davis | Social Worker | 1568 Sax Leigh Dr, Dallas, TX 75241 | 2010-06-25 |
| 1871804989 | Sonya Williams | Case Management | 3481pinebrook Dr, Dallas, TX 75241 | 2010-06-24 |
| 1144468414 | Edwin Ng | Dentist | 1500 E Langdon Rd, Dallas, TX 75241 | 2009-01-26 |
| 1578709135 | Lynita Teresa Fisher | Registered Nurse | 1244 Serenade Lane, Dallas, TX 75241 | 2008-12-31 |
| Find all providers in zip 75241 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376192823 | Jackie D Henderson | Residential Treatment Facility, Physical Disabilities | 7041 Hedgebrook Dr, Dallas, TX 75249 | 2019-09-07 |
| 1316222110 | Paradise Peace of Mind Home Health Care Services, LLC | Residential Treatment Facility, Physical Disabilities | 10222 Chimney Hill Ln, Dallas, TX 75243-2311 | 2011-10-13 |
| 1396992731 | Good Samaritan Assited Living | Residential Treatment Facility, Physical Disabilities | 1435 Glen Ave, Dallas, TX 75216-1722 | 2008-08-27 |
| 1376717876 | Fortress Home Healthcare Agency | Residential Treatment Facility, Physical Disabilities | 7502 Greenville Ave Ste 500, Dallas, TX 75231-3812 | 2008-04-15 |
| 1518168483 | Kenwell Home | Residential Treatment Facility, Physical Disabilities | 6614 Kenwell St, Dallas, TX 75209-5344 | 2007-05-30 |
| 1598889784 | Ora Turner | Residential Treatment Facility, Physical Disabilities | 5822 Lake Placid Dr, Dallas, TX 75232-2342 | 2007-03-16 |
| 1720473739 | U-neek I.d. Inc | Residential Treatment Facility, Physical Disabilities | 917 Fordham Rd, Dallas, TX 75216-6133 | 2015-04-06 |
| 1801295019 | Doctors On Wheels Pllc | Residential Treatment Facility, Physical Disabilities | 1513 Viceroy Dr, Suite 135, Dallas, TX 75235-2303 | 2014-08-14 |
| 1760728885 | Bright Eyes Assisted Living | Residential Treatment Facility, Physical Disabilities | 6327 Teague Dr, Dallas, TX 75241-4844 | 2012-12-18 |
| 1053511139 | Yan Ping Chang | Residential Treatment Facility, Physical Disabilities | 8502 Edgemere Rd, Dallas, TX 75225-3523 | 2007-07-18 |
| Find all providers in DALLAS | ||||
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| 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.