Active NPI
5 Star Health Group LLC
- Home Health Agency
- Virginia Gardens, FL
National Provider Identifier
1306512074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- 5 STAR HEALTH GROUP LLC
- Practice address
- 6355 NW 36TH St Ste 200
Virginia Gardens, FL 33166-7050 - Phone
- (786) 377-5250
- Fax
- (786) 699-1551
- NPI assigned
- Aug 21, 2021
- Last updated
- Oct 10, 2023
- 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
- Dariel Montesino Diaz
- Title
- Ceo, Administrator
- Phone
- (305) 299-8484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
6355 NW 36TH St Ste 200
Virginia Gardens, FL 33166-7050
Mailing address
6355 NW 36TH St Ste 200
Virginia Gardens, FL 33166-7050
Phone (786) 377-5250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299995468 | Other | FL | STATE LICENSE |
| 113885000 | Medicaid | FL |
Care Compare: Home health agency
Medicare Care Compare- Listed as
- 5 Star Health Group LLC
- Ownership
- -
- Certified
- Dec 26, 2022
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
6355 NW 36th St
Ste 200
Virginia Gardens, FL 33166
Phone (786) 377-5250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696896000000",
"number": "1306512074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 NW 36TH ST STE 200",
"city": "VIRGINIA GARDENS",
"state": "FL",
"postal_code": "331667050",
"telephone_number": "786-377-5250",
"fax_number": "786-699-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 NW 36TH ST STE 200",
"city": "VIRGINIA GARDENS",
"state": "FL",
"postal_code": "331667050",
"telephone_number": "786-377-5250",
"fax_number": "786-699-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "5 STAR HEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-21",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A",
"authorized_official_last_name": "MONTESINO DIAZ",
"authorized_official_first_name": "DARIEL",
"authorized_official_title_or_position": "CEO, ADMINISTRATOR",
"authorized_official_telephone_number": "305-299-8484"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "299995468",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113885000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.