Provider Demographics
NPI:1861821803
Name:MIRANTE HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:MIRANTE HEALTHCARE SERVICES, INC.
Other - Org Name:BRIGHTSTAR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SELMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MIRANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-833-9770
Mailing Address - Street 1:7080 DONLON WAY STE 220
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2789
Mailing Address - Country:US
Mailing Address - Phone:925-833-9770
Mailing Address - Fax:925-833-9771
Practice Address - Street 1:7080 DONLON WAY STE 220
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2789
Practice Address - Country:US
Practice Address - Phone:925-833-9770
Practice Address - Fax:925-833-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001177251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health