C. Broviak Homecare L.L.C.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

C. BROVIAK HOMECARE L.L.C.

Doing business as

Synergy HomeCare of Mankato

Practice address

100 Warren St Ste 347
Mankato, MN 56001-3762

Phone

(507) 769-0828

NPI assigned

Jul 7, 2022

Last updated

Jul 7, 2022By 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

Clinton Broviak

Title

President

Phone

(507) 676-3017

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare of Mankato Doing business as

Locations

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1720711633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WARREN ST STE 347",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013762",
            "telephone_number": "507-769-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARREN ST STE 347",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013762",
            "telephone_number": "507-769-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. BROVIAK HOMECARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "BROVIAK",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-676-3017"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Mankato",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noah George Butikofer
• Jennifer Ann Butler, L.I.C.S.W.
• Miranda Ann Byram, M.S., LMFT, LPC, NCC
• David W Byrd, MD
• Gregory Scott Byrd, DO
• Aaron Lloyd Campbell, PA-C
• Dawn Cantrell
• Mark G Cardamone-Rayner
• Salvador Javier Cardenas, M.D.
• Care for Elderly LLC

• In Home Supportive Care Agency in Mankato, MN
• Providers in Mankato, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.