| Organization Name: | 5 STAR HOME HEALTH & HOSPICE LLC |
| NPI Number: | 1952673469 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GUSTAVO GONZALEZ (ADMINISTRATOR) |
| Mailing Address: | 758 S 400 E Orem |
| State: | UT US |
| Postal Code: | 840976322 |
| Phone Number: | 8017539130 |
| Fax Number: | 8013129379 |
| NPI Enumeration Date: | 01/30/2012 |
| NPI Last Update Date: | 11/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 106230 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |