5 Star Home Living Healthcare LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

5 STAR HOME LIVING HEALTHCARE LLC

Practice address

3363 Lukas CV
Orlando, FL 32820-1418

Phone

(407) 242-0830

NPI assigned

Aug 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Y Cardona

Title

Owner

Phone

(407) 242-0830

Specialties & licenses 1

Addresses

Other names 1

• 5 Star Home Living Healthcare LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1003580580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 LUKAS CV",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328201418",
            "telephone_number": "407-242-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 LUKAS CV",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328201418",
            "telephone_number": "407-242-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR HOME LIVING HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-242-0830"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5 Star Home Living Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.