Fivestar Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

031-R-0038 Issued in GA

Legal business name

FIVESTAR HEALTHCARE

Practice address

697 Davis Rd
Suite C
Stockbridge, GA 30281-3062

Phone

(770) 507-0202

NPI assigned

Mar 6, 2007

Last updated

Jun 28, 2013By 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

Joshua Anjorin Bello, PH.D.

Title

Director

Phone

(770) 507-0202

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1932239167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 DAVIS ROAD",
            "address_2": "SUITE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-507-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 DAVIS RD",
            "address_2": "SUITE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813062",
            "telephone_number": "770-507-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVESTAR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ANJORIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-507-0202",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "031-R-0038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770609166",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCH",
            "identifier": "242276454F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCH",
            "identifier": "242276454E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon P Finley, M.D.
• First Choice Community Care Solutions, LLC
• First Response Counseling & Intervention LLC
• Jeannine Lynn Fischer, APRN, FNP-C
• Thomas R Fitzsimmons, M.D.
• Aria Sierra Fleming
• Aaron Michael Fletcher, M.D.
• Phillip Billings Flexon, MD
• Gary S Flom, MD FACS FAAP
• Chelsea Nicole Florence

• Home Health Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.