Active NPI
Christine Gale Sorgman
- In Home Supportive Care Agency
- Roseville, CA
National Provider Identifier
1912561580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 314700012
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253Z00000X | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 314700012 | CA | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Synergy HomeCare
- In Home Supportive Care Agency
- Roseville, CA
- NPI 1013577691
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.