Organization Active NPI

Five Star Home Care LLC

  • Home Health Agency
  • Sunnyvale, CA
National Provider Identifier
1790520229
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIVE STAR HOME CARE LLC
Practice address
830 Stewart Dr Ste 151
Sunnyvale, CA 94085-4513
Phone
(650) 814-0056
Fax
(650) 396-3114
NPI assigned
Jun 26, 2024
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Sandra Rajoo GavneyNPI 1508480252
Title
Ceo/Owner
Phone
(650) 814-0056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

830 Stewart Dr Ste 151
Sunnyvale, CA 94085-4513

Mailing address

830 Stewart Dr Ste 151
Sunnyvale, CA 94085-4513
Phone (650) 814-0056

Other names 1

  • Five Star Home Care LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250801001095 CA Part A Provider - Home Health Agency 8729596747 Practice locations: Sunnyvale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790520229. Details of each certification follow.

Home health agency certification: CCN 758179

Legal name
FIVE STAR HOME CARE LLC
Doing business as
GOLD STAR HOSPICE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 12, 2025
Last certification
Oct 23, 2025
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
830 Stewart Dr
Ste 151
Sunnyvale, CA 94085-4513
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Five Star Home CareCCN 758179 · All quality measures
Ownership
Proprietary
Certified
Nov 12, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

830 Stewart Dr
Ste 151
Sunnyvale, CA 94085
Phone (650) 814-0056

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Arvindh Sundar Individual W-2 Managing EmployeeHead of Operations May 23, 2025
Gold Star Hospice LLC Organization, Sunnyvale, CA LLC 5% Or Greater Direct Ownership Interest Apr 28, 2020 100%
Sandra Gavney Individual 5% Or Greater Direct Ownership InterestCeo/Administrator Oct 19, 2024 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1790520229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 STEWART DR STE 151",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854513",
            "telephone_number": "650-814-0056",
            "fax_number": "650-396-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 STEWART DR STE 151",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854513",
            "telephone_number": "650-814-0056",
            "fax_number": "650-396-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "GAVNEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "RAJOO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "650-814-0056"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.