Healthcare Provider Details

I. General information

NPI: 1366358962
Provider Name (Legal Business Name): 5 STAR INDUSTRIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8195 BELVEDERE RD APT 201
WEST PALM BEACH FL
33411-6236
US

IV. Provider business mailing address

8195 BELVEDERE RD APT 201
WEST PALM BEACH FL
33411-6236
US

V. Phone/Fax

Practice location:
  • Phone: 728-213-6356
  • Fax:
Mailing address:
  • Phone: 728-213-6356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAQUANA L BABB-PICKETT
Title or Position: VICE PRESIDENT
Credential:
Phone: 728-213-6356