OrganizationAllstar Health Providers, Inc.(Allstar Medical Respite And Recuperative Care)Home HealthAgenciesPractice Address10722 Arrow Rte Ste 218, Rancho Cucamonga, CA 91730-4810(909) 945-9899PECOS EnrollmentBased on the most recent information from CMS, provider Allstar Health Providers, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1205270154Provider TypeOrganizationFull NameAllstar Health Providers, Inc.Other NameAllstar Medical Respite And Recuperative CareSubpartNoEnumeration Date4/22/2013Last Updated4/10/2023Contact InformationPractice LocationPractice Address10722 Arrow Rte Ste 218, Rancho Cucamonga, CA 91730-4810Phone(909) 945-9899Fax(909) 945-9799Mailing LocationMailing Address5787 Little Shay Dr, Fontana, CA 92336-4593Phone(909) 945-9899Fax(909) 945-9799Authorized OfficialNameChua, Maria Catherine Koh (Cfo/Hr Director)Phone(909) 945-9899Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense550002526CaliforniaCode177F00000XDescriptionLodgingOther Service ProvidersLicenseUnlisted IssuerCode251B00000XDescriptionCase ManagementAgenciesLicenseUnlisted IssuerCode251E00000XDescriptionHome HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0700940DescriptionMedicaidIssuerUnlistedCaliforniaID059626DescriptionOtherIssuerCMS CERTIFICATION NUMBERCalifornia