Provider Demographics
NPI:1477213171
Name:5 STAR CARE FLORIDA LLC
Entity Type:Organization
Organization Name:5 STAR CARE FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTEAD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:407-732-4781
Mailing Address - Street 1:2201 S FRENCH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-4289
Mailing Address - Country:US
Mailing Address - Phone:407-732-4781
Mailing Address - Fax:
Practice Address - Street 1:2201 S FRENCH AVE STE 3
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-4289
Practice Address - Country:US
Practice Address - Phone:407-732-4781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care