Provider Demographics
NPI:1285078279
Name:5 STAR HOME CARE LLC
Entity type:Organization
Organization Name:5 STAR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-350-5700
Mailing Address - Street 1:9100 BEACH
Mailing Address - Street 2:SUITE 1308
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-2488
Mailing Address - Country:US
Mailing Address - Phone:215-350-5700
Mailing Address - Fax:215-350-5700
Practice Address - Street 1:9100 BEACH
Practice Address - Street 2:SUITE 1308
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402-2488
Practice Address - Country:US
Practice Address - Phone:215-350-5700
Practice Address - Fax:215-350-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care