Healthcare Provider Details

I. General information

NPI: 1376372367
Provider Name (Legal Business Name): 5 STAR HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 W 121ST AVE STE 103
WESTMINSTER CO
80234-3497
US

IV. Provider business mailing address

1490 W 121ST AVE STE 103
WESTMINSTER CO
80234-3497
US

V. Phone/Fax

Practice location:
  • Phone: 303-226-5600
  • Fax: 702-386-0064
Mailing address:
  • Phone: 303-226-5600
  • Fax: 702-386-0064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. NZHDEH KARAKHANYAN
Title or Position: OWNER
Credential:
Phone: 303-226-5600