5 Star Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992821 Issued in FL

Legal business name

5 STAR HOME CARE, LLC

Practice address

15025 NW 77TH Ave
Suite 121
Miami Lakes, FL 33014-6854

Phone

(786) 338-9220

Fax

(786) 338-9222

NPI assigned

Jul 19, 2007

Last updated

May 5, 2008By 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

Marianela Carvajal, RN

Title

Don

Phone

(786) 325-6219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1952501967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15025 NW 77TH AVE",
            "address_2": "SUITE 121",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146852",
            "telephone_number": "786-338-9220",
            "fax_number": "786-338-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15025 NW 77TH AVE",
            "address_2": "SUITE 121",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146854",
            "telephone_number": "786-338-9220",
            "fax_number": "786-338-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "MARIANELA",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "786-325-6219",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.