Provider Demographics
NPI:1619193471
Name:FIVE STAR INVESTMENTS, INC
Entity Type:Organization
Organization Name:FIVE STAR INVESTMENTS, INC
Other - Org Name:DAYSPRING ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:9910-285-5352
Mailing Address - Street 1:4026 S NC HIGHWAY 11
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:NC
Mailing Address - Zip Code:28466-6110
Mailing Address - Country:US
Mailing Address - Phone:910-285-5352
Mailing Address - Fax:
Practice Address - Street 1:4026 S NC HIGHWAY 11
Practice Address - Street 2:
Practice Address - City:WALLACE
Practice Address - State:NC
Practice Address - Zip Code:28466-6110
Practice Address - Country:US
Practice Address - Phone:910-285-5352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL 031-010311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7803852Medicaid