Active NPI
5 Five Star, LLC
- Substance Abuse Rehabilitation Facility
- Panorama City, CA
National Provider Identifier
1073240339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- 5 FIVE STAR, LLC
- Practice address
- 8221 Allott Ave
Panorama City, CA 91402-5501 - Phone
- (650) 483-9547
- NPI assigned
- Aug 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hrachuhi Christine Petikyan
- Title
- Ceo
- Phone
- (747) 877-0003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
8221 Allott Ave
Panorama City, CA 91402-5501
Mailing address
8230 Allott Ave
Panorama City, CA 91402-5502
Phone (747) 247-2027
Other practice location 1
8221 Allott Ave
Van Nuys, CA 91402-5501
Phone (650) 483-9547
Other names 1
- 5 Star LLC
National Provider Directory
National Provider Directory- Tax ID family
- 5 Five Star LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Panorama City, CA
- NPI 1396521746
-
- Substance Abuse Rehabilitation Facility
- Panorama City, CA
- NPI 1518686690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703808000000",
"number": "1073240339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8230 ALLOTT AVE",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914025502",
"telephone_number": "747-247-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 ALLOTT AVE",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914025501",
"telephone_number": "650-483-9547"
}
],
"practiceLocations": [
{
"address_1": "8221 Allott Ave",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914025501",
"country_code": "US",
"telephone_number": "650-483-9547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "5 FIVE STAR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-05",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A",
"authorized_official_last_name": "PETIKYAN",
"authorized_official_first_name": "HRACHUHI",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-877-0003"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "5 Star LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "5 Star LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.