FIVE STAR ADULT DAY CARE NPI 1508123498

NPI Information

NPI: 1508123498
Provider Name: FIVE STAR ADULT DAY CARE
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
4401 FOARD ST
FORT WORTH, TX
ZIP 76119
Phone: (817) 296-0782
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FIVE STAR ADULT DAY CARE is an adult day care clinic center in Fort Worth, TX. FIVE STAR ADULT DAY CARE NPI is 1508123498. The provider is registered as an organization entity type.

The provider's business location address is:

4401 FOARD ST
FORT WORTH, TX
ZIP 76119-305
Phone: (817) 296-0782

The provider's authorized official is Marva Denise Mitchell .
The authorized official title is Owner and has the following contact phone number (817) 296-0782.

The enumeration date for this NPI number is 4/16/2012 and was last updated on 4/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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