Provider Demographics
NPI:1700774171
Name:5TH STREET INVESTMENT GROUP LLC
Entity type:Organization
Organization Name:5TH STREET INVESTMENT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-351-9867
Mailing Address - Street 1:5750 YAHL ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-1924
Mailing Address - Country:US
Mailing Address - Phone:239-351-9867
Mailing Address - Fax:
Practice Address - Street 1:5750 YAHL ST STE 101
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-1924
Practice Address - Country:US
Practice Address - Phone:239-351-9867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health