5 Star Residential Care

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

5 STAR RESIDENTIAL CARE

Practice address

5024 Kelso St
Suffolk, VA 23435-2391

Phone

(336) 926-0133

NPI assigned

Jul 11, 2016

Last updated

May 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Baptist

Title

Director

Phone

(336) 926-0133

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John P Barone, DC

  • Chiropractor
  • Suffolk, VA
  • NPI 1174545313
  NPD
• Samuel Baptiste Jr., OTR

  • Occupational Therapist
  • Tampa, FL
  • NPI 1518285188
  NPD

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1023460342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 BUNCH WALNUTS RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222904",
            "telephone_number": "757-204-4655",
            "fax_number": "757-282-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 KELSO ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352391",
            "telephone_number": "336-926-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "BAPTIST",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-926-0133"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Suffolk, VA
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• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.