Allstar Medical Respite and Recuperative Care

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

ALLSTAR MEDICAL RESPITE AND RECUPERATIVE CARE

Practice address

255 Sperry Dr
Colton, CA 92324-3118

Phone

(909) 688-8111

NPI assigned

Dec 10, 2019

Organization subpart

Yes

Parent organization

ALLSTAR HEALTH PROVIDERS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Maria Catherine Koh Chua

Title

Administrator

Phone

(909) 945-9899

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

Allstar Medical Respite and Recuperative Care4 organizations share this tax ID, including this one

Part of

Allstar Medical Respite and Recuperative Care

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Allstar Health Providers, Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
  • NPI 1205270154
  NPD tax ID
• Allstar Medical Respite and Recuperative Care

  • Lodging Provider
  • Colton, CA
  • NPI 1326685488
  NPD tax ID
• Allstar Medical Respite and Recuperative Care

  • Lodging Provider
  • Redlands, CA
  • NPI 1407493562
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Allstar Health Providers, Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
  • NPI 1205270154
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1265079164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 218",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304810",
            "telephone_number": "909-945-9899",
            "fax_number": "909-945-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SPERRY DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243118",
            "telephone_number": "909-688-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10722 Arrow Rte Ste 218",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304810",
            "country_code": "US",
            "telephone_number": "909-945-9899",
            "fax_number": "909-945-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLSTAR MEDICAL RESPITE AND RECUPERATIVE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLSTAR HEALTH PROVIDERS, INC.",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "MARIA CATHERINE",
        "authorized_official_middle_name": "KOH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-945-9899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RANCHO CUCAMONGA BUSINESS LICENSE TAX CERTIFICATE",
            "identifier": "075281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Jerome Allen, CATC 051081
• Josephus Gomar Alleyne III
• Alliance Health Services, Inc.
• Alliance Health Services, Inc.
• Sonny Allred
• Allstar Medical Respite and Recuperative Care
• Ethan Alexander Almendarez
• Stephanie Vianey Alonso
• Promise Ogbonna Alozie, PMHNP
• Alpha Wound Care

• Lodging Provider in Colton, CA
• Providers in Colton, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.