Healthcare Provider Details

I. General information

NPI: 1376220509
Provider Name (Legal Business Name): FIVE STAR EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 AVENUE OF THE STATES STE 300
CHESTER PA
19013-4412
US

IV. Provider business mailing address

3015 W 11TH ST
CHESTER PA
19013-1635
US

V. Phone/Fax

Practice location:
  • Phone: 484-349-0565
  • Fax:
Mailing address:
  • Phone: 484-358-3065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TOMERA GILBERT
Title or Position: CEO
Credential:
Phone: 484-349-0565