CMS-1500 Box 24J / 33a • NPI
1023460342
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251S00000X
Licensed & Credentialed Community/Behavioral Health
Box 32 Service Location & ZIP+4
5024 KELSO ST, SUFFOLK, VA, 23435-2391
✓ 9-Digit EDI 837 ZIP+4 (23435-2391)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023460342 (5 STAR RESIDENTIAL CARE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023460342 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 5 STAR RESIDENTIAL CARE |
| Plain-English Specialty | Licensed & Credentialed Community/Behavioral Health NUCC Code: 251S00000X (Community/Behavioral Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 5024 KELSO ST, SUFFOLK, VA, 23435-2391 |
| Practice Telephone / Fax | Tel: (336) 926-0133 |
| Administrative Mailing Address | 3116 BUNCH WALNUTS RD, CHESAPEAKE, VA, 23322-2904 |
| Enumeration & Last Sync | Enumerated: 2016-07-11 | CMS Record Updated: 2018-05-09 |
| Authorized Official | SAMUEL BAPTIST (Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (251S00000X)
What Does Taxonomy Code 251S00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251S00000X translates to:
"Licensed & Credentialed Community/Behavioral Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (5 STAR RESIDENTIAL CARE)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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