Provider Demographics
NPI:1407109747
Name:5 STAR QUALITY HOME CARE LLC
Entity Type:Organization
Organization Name:5 STAR QUALITY HOME CARE LLC
Other - Org Name:FIVE STAR QUALITY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-262-0269
Mailing Address - Street 1:105 N BENGE ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-4401
Mailing Address - Country:US
Mailing Address - Phone:469-667-5538
Mailing Address - Fax:
Practice Address - Street 1:105 N BENGE ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4401
Practice Address - Country:US
Practice Address - Phone:469-667-5538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health