MEDICARE: 5-STAR REHABILITATION CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	HCC7235	FL

General Provider Information

NPI Number	:	1144644477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	5-STAR REHABILITATION CENTER, INC

Provider Business Mailing Address
First Line	:	900 W 49TH ST STE 406
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3489
Country	:	US
Telephone Number	:	305-632-9523
Fax Number	:	305-901-5225

Provider Business Practice Location Address
First Line	:	900 W 49TH ST STE 406
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3489
Country	:	US
Telephone Number	:	305-632-9523
Fax Number	:	305-901-5225

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GEORGINA ARES
Credential	:
Telephone Number	:	305-632-9523

Provider Enumeration Date	:	02/06/2014
Last Update Date	:	03/06/2014

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