Organization Active NPI

5 Star Home Health & Hospice, LLC

  • Home Health Agency
  • Orem, UT
National Provider Identifier
1235531583
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
106255 Issued in UT
Legal business name
5 STAR HOME HEALTH & HOSPICE, LLC
Practice address
758 S 400 E
Orem, UT 84097-6322
Phone
(801) 753-9130
Fax
(801) 312-9379
NPI assigned
Sep 18, 2014
Last updated
Dec 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Mr. Jorge Gustavo Gonzalez
Title
Owner/Administrator
Phone
(801) 753-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 106255 UT Primary

Addresses

Primary practice location

758 S 400 E
Orem, UT 84097-6322

Mailing address

758 S 400 E
Orem, UT 84097-6322
Phone (801) 753-9130

National Provider Directory

National Provider Directory

Locations

726 S 400 E
Orem, UT 84097
Phone (801) 753-9130

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1235531583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 S 400 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840976322",
            "telephone_number": "801-753-9130",
            "fax_number": "801-312-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 S 400 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840976322",
            "telephone_number": "801-753-9130",
            "fax_number": "801-312-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR HOME HEALTH & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "801-753-9130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "106255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.