Organization Active NPI

Five Star Fa Inc.

Doing business as Flooring America

  • Home Modifications Contractor
  • Clive, IA
National Provider Identifier
1427225267
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
FIVE STAR FA INC.
Doing business as
Flooring America
Practice address
10200 Hickman CT
Clive, IA 50325-5330
Phone
(515) 331-4613
Fax
(515) 331-0521
NPI assigned
May 12, 2008
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mr. Shane Sonberg
Title
President
Phone
(515) 331-4613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X Primary
Vehicle Modifications Contractor 171WV0202X

Addresses

Primary practice location

10200 Hickman CT
Clive, IA 50325-5330

Mailing address

10200 Hickman CT
Clive, IA 50325-5330
Phone (515) 331-4613

Other names 1

  • Flooring America Doing business as

National Provider Directory

National Provider Directory

Locations

10200 Hickman Ct
Clive, IA 50325
Phone (515) 331-4613

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1427225267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 HICKMAN CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503255330",
            "telephone_number": "515-331-4613",
            "fax_number": "515-331-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 HICKMAN CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503255330",
            "telephone_number": "515-331-4613",
            "fax_number": "515-331-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR FA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "SONBERG",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-331-4613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flooring America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.