Provider Demographics
NPI:1871151068
Name:5 STAR ELITE SERVICES. LLC
Entity type:Organization
Organization Name:5 STAR ELITE SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-521-5136
Mailing Address - Street 1:5010 WIRTZ RD
Mailing Address - Street 2:
Mailing Address - City:WIRTZ
Mailing Address - State:VA
Mailing Address - Zip Code:24184-4313
Mailing Address - Country:US
Mailing Address - Phone:540-719-1405
Mailing Address - Fax:
Practice Address - Street 1:5010 WIRTZ RD
Practice Address - Street 2:
Practice Address - City:WIRTZ
Practice Address - State:VA
Practice Address - Zip Code:24184-4313
Practice Address - Country:US
Practice Address - Phone:540-719-1405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)