Five Star Adult Medical Day Care Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

908112 Issued in NJ

Legal business name

FIVE STAR ADULT MEDICAL DAY CARE CENTER LLC

Practice address

1201 Deerfield Ter
Linden, NJ 07036-5523

Phone

(908) 486-5750

Fax

(908) 486-3325

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Svetlana Maryash

Title

Managing Member

Phone

(908) 486-5750

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972645034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 DEERFIELD TER",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365523",
            "telephone_number": "908-486-5750",
            "fax_number": "908-486-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 DEERFIELD TER",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365523",
            "telephone_number": "908-486-5750",
            "fax_number": "908-486-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR ADULT MEDICAL DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARYASH",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-486-5750",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "908112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034878",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lior Farkash, D.C.
• Magdalena Figas, RPH
• Theresa Filippelli, PA
• First Response Hospice Care Inc
• First Response Residential Services Inc.
• Tanisha Tashya Floyd, LPN
• Fragile Heart Health Consulting Services LLC
• Francisco J Miranda
• Blaire Alexis Franklin, LAC
• Fresenius Medical Care Linden, LLC (Fresenius Medical Care Linden)

• Adult Day Care Clinic/Center in Linden, NJ
• Providers in Linden, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.