Five Star Support Services Corp

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FIVE STAR SUPPORT SERVICES CORP

Practice address

4131 University Blvd S Ste 12
Jacksonville, FL 32216-4352

Phone

(904) 673-8416

NPI assigned

Jun 13, 2025

Organization subpart

No

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

Authorized official

Name

Clintanaey Brown

Title

Owner

Phone

(904) 673-8416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1083500409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164352",
            "telephone_number": "904-673-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164352",
            "telephone_number": "904-673-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR SUPPORT SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CLINTANAEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-673-8416"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.