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NPI Code Detail

MEDICARE: FIVE STAR COMPANION CARE, LLC.

MEDICARE: FIVE STAR COMPANION CARE, LLC.
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
1251E00000XHome Health Agency36233601PA

General Provider Information

NPI Number : 1952801102
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIVE STAR COMPANION CARE, LLC.
Provider Business Mailing Address
First Line : 1413 STENTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19141-2011
Country : US
Telephone Number : 267-582-3022
Fax Number :
Provider Business Practice Location Address
First Line : 1413 STENTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19141-2011
Country : US
Telephone Number : 267-582-3022
Fax Number : 267-582-3022
Authorized Official
Title or Position : PRESIDENT/CEO
Name : RACHEL PARKER
Credential :
Telephone Number : 267-582-3022
Provider Enumeration Date : 02/14/2018
Last Update Date : 02/14/2018

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Directions to “FIVE STAR COMPANION CARE, LLC. ” Practice Location

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