Organization Active NPI

Broberg's Inc.

Doing business as California Seniors Care

  • Home Health Agency
  • Saratoga, CA
National Provider Identifier
1699040766
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C1254184 Issued in CA
Legal business name
BROBERG'S INC.
Doing business as
California Seniors Care
Practice address
12384 Saratoga Sunnyvale Rd
Saratoga, CA 95070-3084
Phone
(408) 996-2180
Fax
(408) 996-2193
NPI assigned
Mar 21, 2012
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. Jason Broberg
Title
Vice President
Phone
(408) 996-2180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X C1254184 CA Primary

Addresses

Primary practice location

12384 Saratoga Sunnyvale Rd
Saratoga, CA 95070-3084

Mailing address

12384 Saratoga Sunnyvale Rd
Saratoga, CA 95070-3084
Phone (408) 996-2180

Other names 1

  • California Seniors Care Doing business as

National Provider Directory

National Provider Directory

Locations

12384 Saratoga Sunnyvale Rd
Saratoga, CA 95070
Phone (408) 809-0115

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1699040766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12384 SARATOGA SUNNYVALE RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950703084",
            "telephone_number": "408-996-2180",
            "fax_number": "408-996-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12384 SARATOGA SUNNYVALE RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950703084",
            "telephone_number": "408-996-2180",
            "fax_number": "408-996-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROBERG'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "BROBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-996-2180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "C1254184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Seniors Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.