FIVE STAR HOMECARE LLC (NPI# 1215429279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215429279 |
| Entity Type | Organization |
| Organization Name | FIVE STAR HOMECARE LLC |
| Other Organization Name | FIVE STAR HOMECARE LLC |
| Practice Address |
629 Se 10th Pl Cape Coral FL 33990 |
| Mailing Address |
629 Se 10th Pl Cape Coral FL 33990-2942 |
| Practice Telephone | 2392580603 |
| Mailing Telephone | 2392580603 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | YIMY L RODRIGUEZ FUENTES (ADMINISTRATOR) |
| Authorized Official Telephone | 2392580603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| FIVE STAR HOMECARE LLC | Former Legal Business Name - Organization |
| Street Address |
629 SE 10TH PL |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| 1487026019 | Christina Kolb | Social Worker | 144 S.e. 21st Terrace, Cape Coral, FL 33990 | 2015-10-22 |
| Find all providers in zip 33990 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809918 | Angel Heart Homemaker and Companion Care Services LLC | In Home Supportive Care | 1423 Se 16th Pl Ste 203, Cape Coral, FL 33990-3891 | 2020-10-21 |
| 1093298531 | Caring & Kind Home Healthcare LLC | In Home Supportive Care | 621 Cape Coral Pkwy E Ste 14, Cape Coral, FL 33904-8590 | 2018-09-11 |
| 1013436245 | Viviana Mueller | In Home Supportive Care | 3522 Se Santa Barbara Pl, Cape Coral, FL 33904-4176 | 2017-09-19 |
| 1629501101 | Olden Is Golden | In Home Supportive Care | 3304 Sw 6th Ave, Cape Coral, FL 33914-5397 | 2017-04-11 |
| 1245649078 | Linares Living LLC | In Home Supportive Care | 3422 Se 11th Pl, Cape Coral, FL 33904-4209 | 2014-08-06 |
| 1871869586 | Guardian Angel Home Caregivers Inc. | In Home Supportive Care | 2503 Nw Juanita Place, Cape Coral, FL 33993 | 2012-03-27 |
| 1316236896 | Independence Healthcare, Inc. | In Home Supportive Care | 4356 Country Club Blvd, Cape Coral, FL 33904-5241 | 2011-04-05 |
| 1295039162 | Mcr Resources Inc | In Home Supportive Care | 1308 Se 5th Ter, Cape Coral, FL 33990-2663 | 2011-01-06 |
| 1164902623 | Serenity Helps Home Care Services LLC | In Home Supportive Care | 3613 Ne 17th Pl, Cape Coral, FL 33909-8304 | 2018-08-15 |
| 1336674878 | Loving Heart Adult Day Care Inc | In Home Supportive Care | 422 Ne 2nd Pl, #100, Cape Coral, FL 33909-1955 | 2017-04-21 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33990 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.