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FIVE STAR MEDICAL LLC
NPI 1780436691
Home Health in Detroit, MI

Active since April 03, 2024
5260 IVANHOE ST, DETROIT, MI 48204(313) 407-2088 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Five Star Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVE STAR MEDICAL LLC (NPI 1780436691), doing business as Five Star Medical, is a healthcare organization registered as a home health in Detroit, Michigan and active in the NPI registry since April 2024. The organization lists Kadejah Dorena Coon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780436691
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFIVE STAR MEDICAL LLC
Location Address5260 IVANHOE STDetroit, MI 48204-3632
Mailing Address5260 Ivanhoe StDetroit, MI 48204-3632 · (313) 407-2088
Phone(313) 407-2088
Organization SubpartNo
Authorized OfficialKadejah Dorena CoonCeo · (313) 407-2088
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1780436691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedFoster Care AgencyTaxonomy 253J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedAssisted Living FacilityTaxonomy 310400000X
5260 IVANHOE ST, Detroit, MI 48204
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Other Names 1

Doing Business AsFive Star Medical

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KADEJAH DORENA COON
Nurse's Aide
5260 IVANHOE ST
DETROIT, MI 48204
Wayne County (313) 407-2088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Five Star Medical LLC's NPI number?

The NPI number for Five Star Medical LLC is 1780436691. It was assigned to this organization in the NPPES registry on April 3, 2024. The provider is doing business as Five Star Medical.

Where is Five Star Medical LLC located?

Five Star Medical LLC is located at 5260 Ivanhoe St, Detroit, MI 48204. The listed phone number is (313) 407-2088.

What is Five Star Medical LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Five Star Medical LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.