MEDICARE: 5 STAR COMPANION 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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1770419681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	5 STAR COMPANION SERVICES LLC

Provider Business Mailing Address
First Line	:	3476 ABERDEEN DR SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6530
Country	:	US
Telephone Number	:	772-453-5003
Fax Number	:

Provider Business Practice Location Address
First Line	:	3476 ABERDEEN DR SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-6530
Country	:	US
Telephone Number	:	772-453-5003
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FILS BARBER
Credential	:
Telephone Number	:	772-453-5003

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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