Healthcare Provider Details

I. General information

NPI: 1033048640
Provider Name (Legal Business Name): 5 STAR HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2908 HILLSIDE AVE
INDIANAPOLIS IN
46218-2719
US

IV. Provider business mailing address

2908 HILLSIDE AVE
INDIANAPOLIS IN
46218-2719
US

V. Phone/Fax

Practice location:
  • Phone: 463-243-0555
  • Fax: 463-243-0555
Mailing address:
  • Phone: 463-243-0555
  • Fax: 463-243-0555

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: MS. LASHANDA BROWNIE
Title or Position: OWNER
Credential:
Phone: 463-243-0555