DOMUS LIFECARE,LLC (NPI# 1376879601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376879601 |
| Entity Type | Organization |
| Organization Name | DOMUS LIFECARE,LLC |
| Other Organization Name | BRIGHTSTAR |
| Practice Address |
7400 Blanco Rd Suite 111 San Antonio TX 78216-4360 |
| Practice Telephone | 2103373355 |
| Practice Fax Number | 2103373356 |
| Mailing Telephone | 2103373355 |
| Mailing Fax Number | 2103373356 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2012-04-13 |
| Authorized Official Name | MR. JOHN DAVID STEVENSON (OWNER/MANAGING PARTNER) |
| Authorized Official Telephone | 2103373355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251J00000X | Nursing Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2833709 | 05 |
| Other Name | Type Code |
|---|---|
| BrightStar | Doing Business As Name - Organization |
| Street Address |
7400 BLANCO RD SUITE 111 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417999087 | Six Lac Inc | Home Health | 7400 Blanco Rd, Suite 132, San Antonio, TX 78216-4360 | 2006-06-11 |
| 1154957595 | Amanda Laraine Vega | Counselor | 7400 Blanco Rd, San Antonio, TX 78216-4360 | 2020-03-17 |
| 1245620087 | Assessment Intervention Management, LLC | Speech-Language Pathologist | 7400 Blanco Rd, Ste. 130, San Antonio, TX 78216-4360 | 2015-02-02 |
| 1770990707 | Nadia Misbahuddin | Behavioral Analyst | 7400 Blanco Rd, Suite 111, San Antonio, TX 78216-4360 | 2014-07-22 |
| 1003106543 | Jesus Aranda-cano | Psychologist | 7400 Blanco Rd, Suite 126, San Antonio, TX 78216-4360 | 2011-04-18 |
| 1841419942 | A Daniel Gutierrez Dc Inc | Chiropractor | 7400 Blanco Rd, Suite 125, San Antonio, TX 78216-4360 | 2007-04-25 |
| 1437283157 | Winston Bradley Woods | Dentist | 7400 Blanco Rd, Suite 100, San Antonio, TX 78216-4360 | 2007-03-15 |
| 1720116213 | Arnoldo Daniel Gutierrez | Chiropractor | 7400 Blanco Rd, 125, San Antonio, TX 78216-4360 | 2007-02-28 |
| 1922013796 | Masters Dental Group, PC | Dentist | 7400 Blanco Rd, Suite 100, San Antonio, TX 78216-4360 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524255 | Admt Solutions LLC | Nursing Care | 8000 W Ih 10 Ste 1500, San Antonio, TX 78230-3883 | 2019-05-28 |
| 1780240549 | First Choice Children's Homecare, Lp | Nursing Care | 8610 N. New Braunfels Ave., Suite 405, San Antonio, TX 78217-6358 | 2019-05-16 |
| 1578042339 | Paula Webb | Nursing Care | 420 W Lubbock St, San Antonio, TX 78204-2531 | 2018-08-11 |
| 1144744244 | Lhcg Cxxiv, LLC | Nursing Care | 5253 Prue Rd Ste 315b, San Antonio, TX 78240-1758 | 2017-07-31 |
| 1952704298 | Castle Homecare 4 Kids, LLC | Nursing Care | 6391 Dezavala Road, Suite 112a, San Antonio, TX 78249 | 2014-10-01 |
| 1033527650 | Once Upon A Time Home Health, LLC | Nursing Care | 4027 Parkway Dr, San Antonio, TX 78228-2312 | 2014-07-28 |
| 1144631128 | Resilient Home Health Care Inc | Nursing Care | 9650 Data Point Rd Suite # 106, San Antonio, TX 78229 | 2014-05-13 |
| 1821413287 | Pediatric Private Duty Nursing, Inc | Nursing Care | 4207 Gardendale St Ste 103b, San Antonio, TX 78229 | 2014-02-21 |
| 1487996096 | San Rafael Healthcare, Inc | Nursing Care | 17890 Blanco Rd Ste 302, San Antonio, TX 78232-1039 | 2013-03-21 |
| 1639411259 | Anointed Angels Caregivers | Nursing Care | 3700 Fredericksburg Rd Ste 216, San Antonio, TX 78201-3273 | 2013-03-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.