Healthcare Provider Details

I. General information

NPI: 1366976706
Provider Name (Legal Business Name): FIVE STAR ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 07/30/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 SHOWERS RD
PALMVIEW TX
78572-1909
US

IV. Provider business mailing address

7803 WAGON TRAIL DR
MISSION TX
78572-8093
US

V. Phone/Fax

Practice location:
  • Phone: 956-598-7185
  • Fax: 956-598-7190
Mailing address:
  • Phone: 956-598-7185
  • Fax: 956-598-7190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LYDIA GARZA
Title or Position: MANAGING MEMBER
Credential:
Phone: 956-432-6008