Four Rivers Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FOUR RIVERS CARE LLC

Doing business as

Brightstar Care of Pasadena

Practice address

260 S Los Robles Ave Ste 102
Pasadena, CA 91101-2869

Phone

(818) 395-6257

NPI assigned

Aug 2, 2024

Last updated

Aug 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mazin ElhadaryNPI 1538554548

Title

Owner

Phone

(818) 395-6257

Specialties & licenses 1

Addresses

Other names 1

• Brightstar Care of Pasadena Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mazin Elhadary, MD

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1538554548
  NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1699505974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S LOS ROBLES AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012869",
            "telephone_number": "818-395-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S LOS ROBLES AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012869",
            "telephone_number": "818-395-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR RIVERS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "ELHADARY",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-395-6257"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstar Care of Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rita Iles Foster
• Samantha Earl Foster, LMFT
• Sheila Foster, FNP
• Melissa F Foulks, LMFT
• Fountain of Youth Intergrative Medical Group Inc
• Caitlynn Fox, MS, BCBA, LBA
• Dana Fox, OTR/L
• Kevin Mitchell Fox
• Sabrina Jacqueline Fox, B.S., MSW
• Taylor Fox

• Home Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.