OrganizationActive
Five Star Support Services LLC
NPI 1487975249 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Waxhaw, NC
Provider details
- NPI number
- 1487975249
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marie Mangrum, Owner - Director(704) 243-2592
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9019 Red Bud Trail
Waxhaw, NC 28173-8913
Phone: (704) 243-2592
Fax: (704) 243-2592
Street-level locationGet directions
Mailing address
9019 Red Bud Trail
Waxhaw, NC 28173-8913
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.