Provider Demographics
NPI:1851676779
Name:FIVE STAR HOME HEALTH CARE
Entity Type:Organization
Organization Name:FIVE STAR HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHIEDA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:TIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-270-3342
Mailing Address - Street 1:316 N MICHIGAN ST
Mailing Address - Street 2:416
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-5667
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:316 N MICHIGAN ST
Practice Address - Street 2:416
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-5667
Practice Address - Country:US
Practice Address - Phone:419-270-3342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health