Healthcare Provider Details
I. General information
NPI: 1992627749
Provider Name (Legal Business Name): BRT CLINICAL NURSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2760 FASHION DR UNIT 205
CORONA CA
92883-5685
US
IV. Provider business mailing address
2760 FASHION DR UNIT 205
CORONA CA
92883-5685
US
V. Phone/Fax
- Phone: 713-575-7724
- Fax:
- Phone: 713-575-7724
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRENDA
RHIMA
Title or Position: PRESIDENT
Credential: ACNPC-AG
Phone: 713-575-7724