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Organization
FIVE STAR HOME HEALTH CARE AGENCY, INC.
Active
Organization
FIVE STAR HOME HEALTH CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL REGANO (COMPLIANCE OFFICER)
(646) 251-0308
Entity
Organization
Contact information
Practice address
3044 CONEY ISLAND AVE STE 4, BROOKLYN, NY 11235-5224
(718) 676-9977
(718) 676-9960
Mailing address
3044 CONEY ISLAND AVE STE 4, BROOKLYN, NY 11235-5224
(718) 676-9977
(718) 676-9960
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04175128
—
NY
Enumeration date
12/28/2018
Last updated
12/28/2018
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