Teodora Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001800 Issued in CA

Legal business name

TEODORA HEALTHCARE, INC.

Doing business as

BrightStar of Riverside

Practice address

45486 Peacock PL
Temecula, CA 92592-4828

Phone

(310) 482-7157

Fax

(800) 450-7022

NPI assigned

Mar 30, 2015

Last updated

Mar 30, 2015By 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

Mr. Maurice Duane Geyen

Title

Administrator

Phone

(951) 682-4838

Specialties & licenses 1

Addresses

Other names 1

• BrightStar of Riverside Doing business as

Tax ID family

Brightstar Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Smart Choice Investments, Inc

  dba BrightStar Healthcare

  • Home Health Agency
  • Temecula, CA
  • NPI 1578957908
  NPD tax ID

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1891180659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 MAGNOLIA AVE",
            "address_2": "SUITE 3D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043805",
            "telephone_number": "951-682-4838",
            "fax_number": "800-450-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45486 PEACOCK PL",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924828",
            "telephone_number": "310-482-7157",
            "fax_number": "800-450-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEODORA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "GEYEN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-682-4838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Temecula, CA
• Providers in Temecula, 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 Mar 30, 2015; 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.