Organization Active NPI

MB Primary Health Caregiver Services, LLC

  • Home Health Aide
  • Canyon Country, CA
National Provider Identifier
1215889688
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
MB PRIMARY HEALTH CAREGIVER SERVICES, LLC
Practice address
28149 Hot Springs Ave
Canyon Country, CA 91351-1141
Phone
(818) 213-7210
NPI assigned
Feb 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Ms. Marilyn Alicio Broenner
Title
Ceo
Phone
(818) 213-7210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

28149 Hot Springs Ave
Canyon Country, CA 91351-1141

Mailing address

28149 Hot Springs Ave
Canyon Country, CA 91351-1141
Phone (818) 213-7210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1215889688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28149 HOT SPRINGS AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913511141",
            "telephone_number": "818-213-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28149 HOT SPRINGS AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913511141",
            "telephone_number": "818-213-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB PRIMARY HEALTH CAREGIVER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BROENNER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "ALICIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-213-7210",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.