Provider Demographics
NPI:1790300853
Name:5 STAR HOME CARE, INC.
Entity Type:Organization
Organization Name:5 STAR HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-685-4836
Mailing Address - Street 1:1966 W 15TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3565
Mailing Address - Country:US
Mailing Address - Phone:970-685-4836
Mailing Address - Fax:970-966-7847
Practice Address - Street 1:1966 W 15TH ST STE 3
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3565
Practice Address - Country:US
Practice Address - Phone:970-685-4836
Practice Address - Fax:970-966-7847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-14
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO049TNIOtherCLASS B LICENSE