Teodora Healthcare Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TEODORA HEALTHCARE INC.

Doing business as

BrightStar of Riverside

Practice address

7121 Magnolia Ave Ste D
Riverside, CA 92504-3805

Phone

(951) 682-4838

Fax

(951) 682-4503

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David Theodre Jones

Title

President and Owner

Phone

(951) 682-4838

Specialties & licenses 1

Addresses

Other names 1

• BrightStar of Riverside Doing business as

Locations

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1396048682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 MAGNOLIA AVE STE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043805",
            "telephone_number": "951-682-4838",
            "fax_number": "951-682-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 MAGNOLIA AVE STE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043805",
            "telephone_number": "951-682-4838",
            "fax_number": "951-682-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEODORA HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THEODRE",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "951-682-4838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Tenette
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• Luis Servano Teoxon, NP-C
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• In Home Supportive Care Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.