MEDICARE: 5 STAR MEDICAL HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215546932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	5 STAR MEDICAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	1408 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8511
Country	:	US
Telephone Number	:	702-234-0425
Fax Number	:

Provider Business Practice Location Address
First Line	:	1408 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8511
Country	:	US
Telephone Number	:	702-234-0425
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARNIE P BARRETTO
Credential	:
Telephone Number	:	702-234-0425

Provider Enumeration Date	:	07/28/2020
Last Update Date	:	12/27/2025

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Directions to “5 STAR MEDICAL HEALTH SERVICES LLC ” Practice Location

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