Five Star Living, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

974 Issued in VA

Legal business name

FIVE STAR LIVING, LLC

Practice address

3101 Stony Valley Dr
Richmond, VA 23223-2658

Phone

(704) 301-2079

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Tamaya Campbell

Title

Administrator

Phone

(704) 301-2079

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1386816882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 STONY VALLEY DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 STONY VALLEY DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232658",
            "telephone_number": "704-301-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TAMAYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-301-2079",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William G Fitzhugh, MD
• Devan Marie Fitzpatrick, NP
• Joshua Andres Fitzpatrick, MD
• Sharon Marie Fitzsimmons, MD
• Five Bridges Counseling Services LLC
• Five Star Quality Care - VA, LLC
• Five Star Rehabilitation and Wellness Services, LLC.
• Shannon Flaherty, CPNP
• Aidan Michael Flanagan, MD
• Monica Renee Flanagan, LCSW, CSOTP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.