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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