OrganizationActive
Blackhawk Premier Care Inc
NPI 1104715358 · Home Health Agency · Fairfield, CA
Provider details
- NPI number
- 1104715358
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Temitope Omotayo, President and Ceo(702) 416-4270
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5140 Business Center Dr Ste 210
Fairfield, CA 94534-1794
Phone: (702) 416-4270
Street-level locationGet directions
Mailing address
5140 Business Center Dr Ste 210
Fairfield, CA 94534-1794
Other names (DBA / former)
- Doing business as
- Brightstar Care of Fairfield
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.