Provider Demographics
NPI:1982103537
Name:FIVE STAR TRANSPORTATION
Entity Type:Organization
Organization Name:FIVE STAR TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSHAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-299-7413
Mailing Address - Street 1:9621 DIXIE HWY STE B
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40272-3439
Mailing Address - Country:US
Mailing Address - Phone:502-299-7413
Mailing Address - Fax:
Practice Address - Street 1:9621 DIXIE HWY STE B
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40272-3439
Practice Address - Country:US
Practice Address - Phone:502-299-7413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)