Berk Street Enterprises, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BERK STREET ENTERPRISES, INC

Doing business as

Bravo Personal Care Services
Zion Healing Gold River

Practice address

2377 Gold Meadow Way Ste 100
Gold River, CA 95670

Phone

(916) 370-6179

NPI assigned

Dec 11, 2016

Last updated

Dec 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janet Lia Phillips, LCSWNPI 1952608432

Title

Owner/Operator

Phone

(916) 201-3551

Specialties & licenses 2

Addresses

Other names 3

• Bravo Personal Care Services Doing business as
• Zion Healing Gold River Doing business as
• Berk Street Enterprises, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janet Lia Phillips, LCSW

  • Clinical Social Worker
  • Gold River, CA
  • NPI 1952608432
  Authorized official Same address or phone

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

{
    "created_epoch": "1481414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703289600000",
    "number": "1194269159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 GOLD MEADOW WAY STE 100",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704444",
            "telephone_number": "916-201-3551",
            "fax_number": "888-796-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 GOLD MEADOW WAY STE 100",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-370-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERK STREET ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-11",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "916-201-3551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bravo Personal Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zion Healing Gold River",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berk Street Enterprises, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Berk Street Enterprises, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Corey Bafford, DMD
• Marita Q. Barlahan-Biag, M.D.
• Sharon Barrino, MFT
• Bel Air Market Inc
• Berk Street Enterprises LLC (Bravo Personal Care Services)
• Grace Anna Bermudez-Soria
• Nicole Bobadilla
• Vernon Austin Bollinger, RPT
• Sydney Brahm
• Warren Frank Brandle, M.D.

• In Home Supportive Care Agency in Gold River, CA
• Providers in Gold River, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; 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.