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BRIGHTSTAR CARE OF SAN LUIS OBISPO
NPI 1255578803
Home Health in San Luis Obispo, CA

Active since January 18, 2009CLIA 05D2065997 · Waiver
3220 S HIGUERA ST, SUITE 315, SAN LUIS OBISPO, CA 93401(805) 548-8811(805) 242-0676 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brightstar Care Of San Luis Obispo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTSTAR CARE OF SAN LUIS OBISPO (NPI 1255578803) is a healthcare organization registered as a home health in San Luis Obispo, California and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Mechell A Vieira, President, as its authorized official.

NPPES Registry Identity

NPI1255578803
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIUM LIFE CARE, INC.,
Location Address3220 S HIGUERA ST, SUITE 315San Luis Obispo, CA 93401-6987
Mailing Address3220 S Higuera St, Suite 315San Luis Obispo, CA 93401-6987 · (805) 548-8811 · Fax (805) 715-3460
Phone(805) 548-8811
Fax(805) 242-0676
Organization SubpartNo
Authorized OfficialMechell A VieiraPresident · (805) 548-8811
Enumeration DateJanuary 18, 2009
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1255578803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3220 S HIGUERA ST, San Luis Obispo, CA 93401
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Other Names 1

Doing Business AsBrightstar Care Of San Luis Obispo

Other Identifiers 1

Other550003349CA · State Home Health Agency License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2065997

Brightstar Healthcare Of San Luis Obispo · San Luis Obispo, CA
Active · expires Sep 17, 2027
CLIA Number05D2065997
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorRichard E. Wagner, MD
Laboratory Phone(805) 548-8810
Laboratory LocationBrightstar Healthcare Of San Luis Obispo3220 S Higuera St Ste 315, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONARCH HOME CARE INC.
Technician (Personal Care Attendant)
3220 S HIGUERA ST, SUITE 225
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 542-9740
PACIFIC PSYCHIATRY INC.
Psychiatry & Neurology (Psychiatry)
3220 S HIGUERA ST, SUITE 215
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5055
DR. FILOMENA R REBELO PHD
Psychologist (Clinical)
3220 S HIGUERA ST, SUITE 205
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5055
VICTOR SILVA-PALACIOS PHD
Psychologist
3220 S HIGUERA ST, SUITE 210
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 801-7590
SUZANNE MARY BARRON M.S., LMFT
Marriage & Family Therapist
3220 S HIGUERA ST, SUITE 306
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 235-4060
PEACEFUL MIND, INC.
Behavior Analyst
3220 S HIGUERA ST, STE 205
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5055
DR. MARTIN COSGRO PH.D.
Psychologist (Clinical)
3220 S HIGUERA ST, STE. 220
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 547-0419
ISRAEL GLIKSBERG
Marriage & Family Therapist
3220 S HIGUERA ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (820) 777-5251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premium Life Care, Inc.,'s NPI number?

The NPI number for Premium Life Care, Inc., is 1255578803. It was assigned to this organization in the NPPES registry on January 18, 2009. The provider is doing business as Brightstar Care Of San Luis Obispo.

Where is Premium Life Care, Inc., located?

Premium Life Care, Inc., is located at 3220 S Higuera St Suite 315, San Luis Obispo, CA 93401. The listed phone number is (805) 548-8811.

What is Premium Life Care, Inc.,'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Premium Life Care, Inc., hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2065997) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premium Life Care, Inc., was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.