<Unavail>

LBN: Ty Five Star Corporation
<Unavail> is an health care organization with primary practice located at 1652 Mono Ave , San Leandro CA 94578-2020. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Ty Five Star Corporation can be contacted via phone (510) 317-7360, or through Preimesberger, James via phone (213) 709-4887.

Contact Information

Primary practice address
1652 Mono Ave San Leandro CA 94578-2020
Phone: (510) 317-7360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Preimesberger, James
Phone: (213) 709-4887

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 020000050 California
Suppliers / Nursing Facility Supplies 332BN1400X 020000050 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 020000050 California

Profile Details

NPI number 1235267972
LBN Legal business name Ty Five Star Corporation
DBA Doing business as <Unavail>
Authorized official Preimesberger, James
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Feb 13th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235267972 NPPES
California Other 020000050 SNF LICENSE NUMBER

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