5 Star Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010292 Issued in IL

Legal business name

5 STAR HEALTHCARE, INC.

Practice address

2093 Rand Rd Ste LL
Des Plaines, IL 60016-4727

Phone

(224) 382-2166

Fax

(847) 628-0837

NPI assigned

Sep 19, 2005

Last updated

May 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Antonia A Martinez

Title

President

Phone

(224) 382-2166

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunshine Mary C De la Cruz, RN

  • Registered Nurse
  • Highland Park, IL
  • NPI 1629796925
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1245225986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 RAND RD STE LL",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164727",
            "telephone_number": "224-382-2166",
            "fax_number": "847-628-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 RAND RD STE LL",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164727",
            "telephone_number": "224-382-2166",
            "fax_number": "847-628-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARIA ANTONIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-382-2166"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "147766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Abdullah Abdussalam
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• Home Health Agency in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.