NPIMap

Organization Active NPI

Five Star Home Health Care Agency, Inc.

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1730651936
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIVE STAR HOME HEALTH CARE AGENCY, INC.
Practice address
3044 Coney Island Ave Ste 4
Brooklyn, NY 11235-5224
Phone
(718) 676-9977
Fax
(718) 676-9960
NPI assigned
Dec 28, 2018
Last updated
Dec 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Michael Regano
Title
Compliance Officer
Phone
(646) 251-0308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3044 Coney Island Ave Ste 4
Brooklyn, NY 11235-5224

Mailing address

3044 Coney Island Ave Ste 4
Brooklyn, NY 11235-5224
Phone (718) 676-9977

Other identifiers 1

IdentifierTypeStateIssuer
04175128MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Five Star Home Health Care Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1730651936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 CONEY ISLAND AVE STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355224",
            "telephone_number": "718-676-9977",
            "fax_number": "718-676-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 CONEY ISLAND AVE STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355224",
            "telephone_number": "718-676-9977",
            "fax_number": "718-676-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "REGANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "646-251-0308"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04175128",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.