BRIGHTSTAR CARE OF SAN LUIS OBISPO
NPI 1255578803
Home Health in San Luis Obispo, CA
NPI Status: Active since January 18, 2009
Contact Information
3220 S HIGUERA ST
SUITE 315
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 548-8811
Fax: (805) 242-0676
- Organization
- Home Health
- CLIA Number: 05D2065997
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 09-17-2027
About BRIGHTSTAR CARE OF SAN LUIS OBISPO
This page provides the complete NPI Profile along with additional information for Brightstar Care Of San Luis Obispo, a provider established in San Luis Obispo, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1255578803 assigned on January 2009. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Brightstar Care Of San Luis Obispo. The authorized official of this NPI record is Mechell A Vieira (President)
- NPI
- 1255578803
- Provider Legal Name
- PREMIUM LIFE CARE, INC.,
- Other Organization Name
- BRIGHTSTAR CARE OF SAN LUIS OBISPO
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3220 S HIGUERA ST SUITE 315 SAN LUIS OBISPO, CA 93401
- Location Phone
- (805) 548-8811
- Location Fax
- (805) 242-0676
- Mailing Address
- 3220 S HIGUERA ST SUITE 315 SAN LUIS OBISPO, CA 93401
- Mailing Phone
- (805) 548-8811
- Mailing Fax
- (805) 242-0676
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2009
- Last Update Date
- 09-01-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License State
- CA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 550003349 | OTHER (01) | CA | STATE HOME HEALTH AGENCY LICENSE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2065997
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 18, 2025
- Certificate Expiration Date
- September 17, 2027
- Laboratory Director
- RICHARD E. WAGNER, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brightstar Care Of San Luis Obispo to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255578803, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255578803, enumerated as an "organization" on January 18, 2009.
The provider is located at 3220 S HIGUERA ST SUITE 315 SAN LUIS OBISPO, CA 93401 and the phone number is (805) 548-8811.
Home Health with taxonomy code 251E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
