| Organization Name: | FIVE STAR ADULT DAY CARE INC. |
| NPI Number: | 1225384613 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARINA ILYAYEV (OWNER) |
| Mailing Address: | 8246 189th St Hollis |
| State: | NY US |
| Postal Code: | 114231007 |
| Phone Number: | 7186626424 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2012 |
| NPI Last Update Date: | 08/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |