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Contact Information

5 STAR HOME CARE INC
4703 HIGHWAY 17 BYP S
MYRTLE BEACH, SC29577-6693
 Phone: 843-633-3333
 Fax: 843-294-0140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for 5 STAR HOME CARE INC

NPI # 1740705649
LBN Legal business name 5 STAR HOME CARE INC
Authorized official ALBERT IVATOROV - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2017
Last updated 04/26/2023 - About 3 years ago
Identifiers
SC License # PENDING
SC Medicaid EX1712
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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