Organization · NPI-2

5 Star Home Living Healthcare LLC

Respite Care · Orlando, FL

NPI number1003580580
StatusActive
Last updated in NPPESAug 6, 2021

Details

NPI
1003580580
Entity type
Organization (NPI-2)
Legal business name
5 Star Home Living Healthcare LLC
Organization subpart
No
Enumeration date
Aug 6, 2021
Certification date
Aug 6, 2021
Last updated
Aug 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
385H00000X Respite Care––Yes

Other names

  • 5 Star Home Living Healthcare LLC (Former Legal Business Name)

Practice location

3363 Lukas Cv
Orlando, FL 32820-1418

Phone 407-242-0830

Mailing address

3363 Lukas Cv
Orlando, FL 32820-1418

Phone 407-242-0830

Authorized official

Stephanie Y Cardona
Owner
4072420830

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