Five Star Elite Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIVE STAR ELITE HOME HEALTH LLC

Doing business as

FSET Home Health LLC

Practice address

9051 Mansfield Rd Ste E3
Shreveport, LA 71118-2680

Phone

(318) 505-9505

Fax

(318) 716-3378

NPI assigned

Jun 3, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Derrick Dwayne Black

Title

Owner/Ceo

Phone

(318) 455-3433

Specialties & licenses 1

Addresses

Other names 1

• FSET Home Health LLC Doing business as

Locations

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1205450582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 MANSFIELD RD STE E3",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182680",
            "telephone_number": "318-505-9505",
            "fax_number": "318-716-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 MANSFIELD RD STE E3",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182680",
            "telephone_number": "318-505-9505",
            "fax_number": "318-716-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR ELITE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "318-455-3433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FSET Home Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FSET Home Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Fitz-Gerald
• Mary Jo Fitz-Gerald, M.D.
• Carolyn Fitzgerald
• Julia Fitzgerald
• Kenneth Carl James Fitzgerald III, MD
• Five Star Elite Transportation Services LLC
• Larry Lucas Flake, MD
• Carolyn Flanagan Ruffin
• Sarah Thorne Flanagan, MD
• Megan Flavin, DPT

• Home Health Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.