Organization
ALLSTAR HEALTH PROVIDERS, INC.
Active
Other names
Allstar Medical Respite and Recuperative Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CATHERINE KOH CHUA (CFO/HR DIRECTOR)
(909) 945-9899
Entity
Organization
Contact information
Practice address
10722 ARROW RTE STE 218, RANCHO CUCAMONGA, CA 91730-4810
(909) 945-9899
(909) 945-9799
Mailing address
5787 LITTLE SHAY DR, FONTANA, CA 92336-4593
(909) 945-9899
(909) 945-9799
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
550002526
CA
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059626
CMS CERTIFICATION NUMBER
CA
05
—
0700940
—
CA
Enumeration date
04/22/2013
Last updated
04/10/2023
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