FIVE STAR INDUSTRIES, INC.
NPI 1790136414
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Du Quoin, IL

Q: What is Five Star Industries, Inc.'s NPI number?

The NPI number for Five Star Industries, Inc. is 1790136414. It was assigned to this organization in the NPPES registry on June 23, 2016.

Q: What is Five Star Industries, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since June 23, 2016

1308 WELLS STREET RD, DU QUOIN, IL 62832(618) 542-5421(618) 790-9147 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Five Star Industries, Inc. NPPES

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

FIVE STAR INDUSTRIES, INC. (NPI 1790136414) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Du Quoin, Illinois and active in the NPI registry since June 2016. The organization lists Susan Engelhardt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790136414

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameFIVE STAR INDUSTRIES, INC.

Location Address1308 WELLS STREET RDDu Quoin, IL 62832-4171

Mailing AddressPo Box 60Du Quoin, IL 62832-0060 · (618) 542-5421 · Fax (618) 790-9147

Phone(618) 542-5421

Fax(618) 790-9147

Organization SubpartNo

Authorized OfficialSusan EngelhardtExecutive Director · (618) 542-5421

Enumeration DateJune 23, 2016

✔ NPI 1790136414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in IL · 199100056S

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

1308 WELLS STREET RD, Du Quoin, IL 62832

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUSAN EILEEN ENGELHARDT

Counselor

1308 WELLS STREET RD
DU QUOIN, IL 62832

Perry County (618) 542-5421

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 Industries, Inc.'s NPI number?

The NPI number for Five Star Industries, Inc. is 1790136414. It was assigned to this organization in the NPPES registry on June 23, 2016.

Where is Five Star Industries, Inc. located?

Five Star Industries, Inc. is located at 1308 Wells Street Rd, Du Quoin, IL 62832. The listed phone number is (618) 542-5421.

What is Five Star Industries, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Five Star Industries, Inc. was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.