Provider Demographics
NPI:1790358331
Name:FIVE STAR HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:FIVE STAR HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VAHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHABEKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-254-6055
Mailing Address - Street 1:2450 COLORADO AVE
Mailing Address - Street 2:STE 100E, UNIT 309
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404
Mailing Address - Country:US
Mailing Address - Phone:747-254-6055
Mailing Address - Fax:
Practice Address - Street 1:2450 COLORADO AVE
Practice Address - Street 2:STE 100E, UNIT 309
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404
Practice Address - Country:US
Practice Address - Phone:747-254-6055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health