Organization Active NPI

Five Star Quarters Inc.

  • Physical Disabilities Residential Treatment Facility
  • Dallas, TX
National Provider Identifier
1609045558
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
122690 Issued in TX
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

Updated by the provider on Jul 30, 2008

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.