Individual provider Active NPI

Christine Gale Sorgman

  • In Home Supportive Care Agency
  • Roseville, CA
National Provider Identifier
1912561580
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
314700012 Issued in CA
Practice address
2003 Opportunity Dr Ste 6a
Roseville, CA 95678-3008
Phone
(916) 899-5925
Fax
(916) 899-5923
NPI assigned
Apr 29, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 314700012 CA Primary

Addresses

Primary practice location

2003 Opportunity Dr Ste 6a
Roseville, CA 95678-3008

Mailing address

2003 Opportunity Dr Ste 6a
Roseville, CA 95678-3008
Phone (916) 899-5925

Other identifiers 1

IdentifierTypeStateIssuer
253Z00000XMedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL csorgman@synergyhomecare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
314700012CAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Strategy 13 Enterprise Incorporated In Home Supportive Care Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1912561580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 OPPORTUNITY DR STE 6A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783008",
            "telephone_number": "916-899-5925",
            "fax_number": "916-899-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 OPPORTUNITY DR STE 6A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783008",
            "telephone_number": "916-899-5925",
            "fax_number": "916-899-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORGMAN",
        "first_name": "CHRISTINE",
        "middle_name": "GALE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "314700012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "csorgman@synergyhomecare.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client assignments",
            "address_1": "2003 Opportunity Dr Ste 6A",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956783008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 29, 2019; 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.