Provider Demographics
NPI:1942600697
Name:BRIGHTSTAR CARE OF ESCONDIDO AND SAN MARCOS
Entity Type:Organization
Organization Name:BRIGHTSTAR CARE OF ESCONDIDO AND SAN MARCOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH MANAGER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KLEARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-738-1926
Mailing Address - Street 1:639 N ESCONDIDO BLVD
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-1701
Mailing Address - Country:US
Mailing Address - Phone:760-738-1926
Mailing Address - Fax:760-738-1928
Practice Address - Street 1:639 N ESCONDIDO BLVD
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-1701
Practice Address - Country:US
Practice Address - Phone:760-738-1926
Practice Address - Fax:760-738-1928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-31
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001901251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health