| Organization Name: | FIVE STAR COMMUNITY SERVICES |
| NPI Number: | 1588060248 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE ANDERSON (OWNER) |
| Mailing Address: | 2600 Poplar Ave Ste 514 Memphis |
| State: | TN US |
| Postal Code: | 381123849 |
| Phone Number: | 9012919744 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2014 |
| NPI Last Update Date: | 11/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | I000000015083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |