Organization
5 STAR HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIEL MONTESINO DIAZ (CEO, ADMINISTRATOR)
(305) 299-8484
Entity
Organization
Contact information
Practice address
6355 NW 36TH ST STE 200, VIRGINIA GARDENS, FL 33166-7050
(786) 377-5250
(786) 699-1551
Mailing address
6355 NW 36TH ST STE 200, VIRGINIA GARDENS, FL 33166-7050
(786) 377-5250
(786) 699-1551
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113885000
—
FL
01
—
299995468
STATE LICENSE
FL
Enumeration date
08/21/2021
Last updated
10/10/2023
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