Five Star Quality Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FIVE STAR QUALITY TRANSPORTATION LLC

Practice address

10225 Magnolia Ridge Dr
Jacksonville, FL 32210-4991

Phone

(904) 923-3505

NPI assigned

Mar 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Katrina M JohnsonNPI 1063970358

Title

Ceo

Phone

(904) 923-3505

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina M Johnson

  • In Home Supportive Care Agency
  • Jacksonville, FL
  • NPI 1063970358
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1013542042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440931",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322220010",
            "telephone_number": "904-923-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 MAGNOLIA RIDGE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104991",
            "telephone_number": "904-923-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR QUALITY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-923-3505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063970358",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Five Points Therapeutic Massage
• Five S.T.a.R. Veterans Center, Inc
• Five Star Laboratory Service LLC
• Five Star Professional Home Care Staffing LLC
• Five Star Professional Transport LLC
• Five Star Support Services Corp
• Amanda Alayne Fix, D.M.D
• Thomas James Fix, MD
• FL Department of Health
• FL Department of Health

• Non-emergency Medical Transport (VAN) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.