Organization Active NPI

SBSG Equity Group, LLC

  • In Home Supportive Care Agency
  • Roseville, CA
National Provider Identifier
1316719909
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SBSG EQUITY GROUP, LLC
Practice address
1100 Melody LN Ste 1040
Roseville, CA 95678-5203
Phone
(916) 794-2288
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Shaun Geronimo
Title
Ceo/President
Phone
(808) 258-6467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1100 Melody LN Ste 1040
Roseville, CA 95678-5203

Mailing address

1100 Melody LN Ste 1040
Roseville, CA 95678-5203
Phone (916) 794-2288

Other names 1

  • ACASA Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1316719909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MELODY LN STE 1040",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785203",
            "telephone_number": "916-794-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MELODY LN STE 1040",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785203",
            "telephone_number": "916-794-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBSG EQUITY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "GERONIMO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "808-258-6467"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACASA Senior 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 Oct 26, 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.