Healthcare Provider Details

I. General information

NPI: 1194240267
Provider Name (Legal Business Name): 5 STAR HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 CLAYTON RD STE 207
SAINT LOUIS MO
63117-1342
US

IV. Provider business mailing address

7750 CLAYTON RD STE 207
SAINT LOUIS MO
63117-1342
US

V. Phone/Fax

Practice location:
  • Phone: 314-833-5030
  • Fax: 314-833-3325
Mailing address:
  • Phone: 314-833-5030
  • Fax: 314-833-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMO

VIII. Authorized Official

Name: JERRY SAVAGE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 314-833-5030