Active NPI
Five Star Quarters Inc.
- Physical Disabilities Residential Treatment Facility
- Dallas, TX
National Provider Identifier
1609045558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 122690
- Legal business name
- FIVE STAR QUARTERS INC.
- Practice address
- 4023 Mehalia Dr
Dallas, TX 75241-5253 - Phone
- (972) 225-8872
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Donald Love
- Title
- Manager
- Phone
- (972) 225-8872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 122690 | TX | Primary |
Addresses
Primary practice location
4023 Mehalia Dr
Dallas, TX 75241-5253
Mailing address
4023 Mehalia Drive
Dallas, TX 75241
Phone (972) 225-8872
Other names 1
- Five Star Quarters
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1609045558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4023 MEHALIA DRIVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75241",
"telephone_number": "972-225-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4023 MEHALIA DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752415253",
"telephone_number": "972-225-8872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE STAR QUARTERS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "972-225-8872",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "TX",
"license": "122690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Five Star Quarters",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.