Five Star Adult Day Care

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FIVE STAR ADULT DAY CARE

Practice address

4401 Foard St
Fort Worth, TX 76119-3305

Phone

(817) 296-0782

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marva Denise Mitchell

Title

Owner

Phone

(817) 296-0782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1508123498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 FOARD ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761193305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FOARD ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761193305",
            "telephone_number": "817-296-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARVA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-296-0782"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian A Fitzgerald, RN
• Amanda Fitzpatrick, PSYD
• Shawn R Fitzsimmons, MD
• Joseph Leon Fitzwater, MD
• Melissa Fitzwater, DDS
• Jennifer T Fix, PHARMD, MBA
• Elisabeth Katharina Flachofsky, M.D.
• Rebecca Hucks Flagg
• Samuel Nathan Flagg, DO
• Colton James Flaherty

• Adult Day Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.