Five Star Residential Day Support

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FIVE STAR RESIDENTIAL DAY SUPPORT

Practice address

902 Lucas Creek Rd
Newport News, VA 23608-2749

Phone

(757) 369-0290

NPI assigned

Apr 2, 2019

Last updated

Apr 2, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

FIVE STAR RESIDENTIAL LIVING LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Edith Arandela, RN,BSN,CCRN

Title

Ceo

Phone

(757) 642-4968

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1538621396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 LUCAS CREEK RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082749",
            "telephone_number": "757-369-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 LUCAS CREEK RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236082749",
            "telephone_number": "757-369-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR RESIDENTIAL DAY SUPPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIVE STAR RESIDENTIAL LIVING LLC",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "ARANDELA",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-642-4968",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN,CCRN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitness Plus LLC
• Katie Fitterer, BCBA
• Benjamin William Fitzer, B.A., D.C.
• Angela Marie Fitzgerald, MS, OTR, CHT
• Five Star Newport News, LLC (Morningside of Newport News)
• Shawn Flanagan, M.D.
• Shawn Ryan Flanagan, DO
• Lewis Flanary
• Melody Fleming
• Jennifer Fletcher Bland, RPH

• Developmentally Disabled Services Day Training Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.