5 FIVE STAR, LLC
NPI 1073240339
Substance Abuse Rehabilitation Facility in Panorama City, CA
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2286527
- CLIA Cert. Type: Other - SUBSTANCE USE TREATMENT
- CLIA Exp. Date: 07-30-2027
About 5 FIVE STAR, LLC
This page provides the complete NPI Profile along with additional information for 5 Five Star, Llc, a provider established in Panorama City, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1073240339 assigned on August 2022. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is 5 Star Llc. The authorized official of this NPI record is Hrachuhi Christine Petikyan (Ceo)
- NPI
- 1073240339 Verify this NPI
- Provider Legal Name
- 5 FIVE STAR, LLC
- Other Organization Name
- 5 STAR LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 8221 ALLOTT AVE PANORAMA CITY, CA 91402
- Location Phone
- (650) 483-9547
- Mailing Address
- 8230 ALLOTT AVE PANORAMA CITY, CA 91402
- Mailing Phone
- (747) 247-2027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2022
- Last Update Date
- 12-29-2023
- Code Navigator
Location Map
Secondary Locations
- 8221 Allott Ave
Van Nuys, CA 91402
(650) 483-9547
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2286527
- Facility Type
- Other - SUBSTANCE USE TREATMENT
- Certificate Effective Date
- July 31, 2025
- Certificate Expiration Date
- July 30, 2027
- Laboratory Director
- ERIC CHAHOURI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 5 Five Star, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073240339, enumerated as an "organization" on August 05, 2022.
The provider is located at 8221 ALLOTT AVE PANORAMA CITY, CA 91402 and the phone number is (650) 483-9547.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
