SBCH, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SBCH, LLC

Doing business as

San Bruno Care Home

Practice address

1382 Williams Ave
San Bruno, CA 94066-3332

Phone

(650) 827-1382

NPI assigned

Aug 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marie Jan Foronda-Cayabyab

Title

Member

Phone

(510) 375-1335

Specialties & licenses 1

Addresses

Other names 1

• San Bruno Care Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1124676309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 WILLIAMS AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663332",
            "telephone_number": "650-827-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 WILLIAMS AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663332",
            "telephone_number": "650-827-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "FORONDA-CAYABYAB",
        "authorized_official_first_name": "MARIE JAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "510-375-1335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Bruno Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarita Prospero Santos
• Giselle Theodora Sardjono
• Kyriako Sarikakis
• Gabrielle Katrina Garcia Sarion
• Roselyn Sarmiento Gallardo
• Monet Angelina Scheller
• Morgan Schmidt Petersen
• Dana Christopher Schnell, CADTP ID#16574
• Ashley Schroeder
• Mara Schumann

• Assisted Living Facility in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.