Provider Demographics
NPI:1942198502
Name:5-STAR COMMUNITY LIVING LLC
Entity type:Organization
Organization Name:5-STAR COMMUNITY LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:CRUMBLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DBA, LMSW
Authorized Official - Phone:254-317-0569
Mailing Address - Street 1:8000 HATHAWAY LN
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-6699
Mailing Address - Country:US
Mailing Address - Phone:254-317-0569
Mailing Address - Fax:254-213-2336
Practice Address - Street 1:523 CATTAIL CIR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2655
Practice Address - Country:US
Practice Address - Phone:254-317-0569
Practice Address - Fax:254-213-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No385H00000XRespite Care FacilityRespite Care