Healthcare Provider Details

I. General information

NPI: 1790520229
Provider Name (Legal Business Name): FIVE STAR HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 STEWART DR STE 151
SUNNYVALE CA
94085-4513
US

IV. Provider business mailing address

830 STEWART DR STE 151
SUNNYVALE CA
94085-4513
US

V. Phone/Fax

Practice location:
  • Phone: 650-814-0056
  • Fax: 650-396-3114
Mailing address:
  • Phone: 650-814-0056
  • Fax: 650-396-3114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SANDRA RAJOO GAVNEY
Title or Position: CEO/OWNER
Credential:
Phone: 650-814-0056