Organization Active NPI

Roseberry Care LLC

Doing business as Roseberry Care

  • Assisted Living Facility
  • Roseville, CA
National Provider Identifier
1225623192
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROSEBERRY CARE LLC
Doing business as
Roseberry Care
Practice address
128 Berry St
Roseville, CA 95678-1309
Phone
(916) 272-3599
NPI assigned
Mar 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Ms. Jessica Quistgard, AS
Title
Business Manager/Administrator
Phone
(916) 272-3599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

128 Berry St
Roseville, CA 95678-1309

Mailing address

128 Berry St
Roseville, CA 95678-1309

Other names 1

  • Roseberry Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Roseville

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1225623192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BERRY ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BERRY ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781309",
            "telephone_number": "916-272-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBERRY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "QUISTGARD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-272-3599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Roseville",
            "affiliation": "N",
            "address_1": "128 Berry St",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956781309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roseberry Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.