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FIVE STAR SUPPORT SERVICES LLC
NPI 1487975249
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Waxhaw, NC

Active since June 16, 2010
9019 RED BUD TRAIL, WAXHAW, NC 28173(704) 243-2592(704) 243-2592 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Five Star Support Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVE STAR SUPPORT SERVICES LLC (NPI 1487975249) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Waxhaw, North Carolina and active in the NPI registry since June 2010. The organization lists Marie Leggett Mangrum, Owner - Director, as its authorized official.

NPPES Registry Identity

NPI1487975249
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameFIVE STAR SUPPORT SERVICES LLC
Location Address9019 RED BUD TRAILWaxhaw, NC 28173-8913
Mailing Address9019 Red Bud TrailWaxhaw, NC 28173-8913 · (704) 243-2592 · Fax (704) 243-2592
Phone(704) 243-2592
Fax(704) 243-2592
Organization SubpartNo
Authorized OfficialMarie Leggett MangrumOwner - Director · (704) 243-2592
Enumeration DateJune 16, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1487975249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
9019 RED BUD TRAIL, Waxhaw, NC 28173
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Five Star Support Services LLC's NPI number?

The NPI number for Five Star Support Services LLC is 1487975249. It was assigned to this organization in the NPPES registry on June 16, 2010.

Where is Five Star Support Services LLC located?

Five Star Support Services LLC is located at 9019 Red Bud Trail, Waxhaw, NC 28173. The listed phone number is (704) 243-2592.

What is Five Star Support Services LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Five Star Support Services LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.