Healthcare Provider Details

I. General information

NPI: 1851220016
Provider Name (Legal Business Name): RUBYSTAR HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 POTTER ST
FALLBROOK CA
92028-3068
US

IV. Provider business mailing address

54 N CENTRAL AVE STE 204
CAMPBELL CA
95008-2085
US

V. Phone/Fax

Practice location:
  • Phone: 760-728-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BRANDI
Title or Position: CAO
Credential:
Phone: 916-677-7416