Provider Demographics
NPI:1902298946
Name:STELLAR CARE INC
Entity Type:Organization
Organization Name:STELLAR CARE INC
Other - Org Name:STELLAR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:KUNMIN
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-287-2920
Mailing Address - Street 1:4518 54TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-3527
Mailing Address - Country:US
Mailing Address - Phone:619-287-2920
Mailing Address - Fax:619-287-8534
Practice Address - Street 1:4518 54TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-3527
Practice Address - Country:US
Practice Address - Phone:619-287-2920
Practice Address - Fax:619-287-8534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374603625310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility