Organization Active NPI

Five Stars Care & Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Duluth, GA
National Provider Identifier
1306461009
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FIVE STARS CARE & SUPPLY INC
Practice address
3435 Buford Hwy Ste D
Duluth, GA 30096-3550
Phone
(678) 878-3248
NPI assigned
Jun 9, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Mr. Jorge Noyola
Title
President
Phone
(678) 878-3248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3435 Buford Hwy Ste D
Duluth, GA 30096-3550

Mailing address

3435 Buford Hwy Ste D
Duluth, GA 30096-3550
Phone (678) 878-3248

National Provider Directory

National Provider Directory

Locations

3435 Buford Hwy
Ste D
Duluth, GA 30096
Phone (678) 878-3248

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1306461009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 BUFORD HWY STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963550",
            "telephone_number": "678-878-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 BUFORD HWY STE D",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963550",
            "telephone_number": "678-878-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STARS CARE & SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "NOYOLA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-878-3248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.