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Organization

FIVE STARS CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMAD ATTARI (OWNER/ADMINISTRATOR)
(408) 455-0059
Entity
Organization

Contact information

Practice address
3900 JERMANTOWN RD STE 420, FAIRFAX, VA 22030-4900
(202) 800-3134
(202) 871-2232
Mailing address
3900 JERMANTOWN RD STE 420, FAIRFAX, VA 22030-4900
(202) 800-3134
(202) 871-2232

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
372500000X
Chore Provider
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
05/24/2024
Last updated
12/10/2024
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