BERK STREET ENTERPRISES, INC (NPI# 1194269159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194269159 |
| Entity Type | Organization |
| Organization Name | BERK STREET ENTERPRISES, INC |
| Other Organization Name | BERK STREET ENTERPRISES, LLC |
| Practice Address |
2377 Gold Meadow Way Ste 100 Gold River CA 95670 |
| Mailing Address |
11230 Gold Express Dr Ste 310-154 Gold River CA 95670-4484 |
| Practice Telephone | 9163706179 |
| Mailing Telephone | 5106858903 |
| Mailing Fax Number | 8887962876 |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | MRS. JANET LIA PHILLIPS (OWNER/OPERATOR) |
| Authorized Official Telephone | 5106858903 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Berk Street Enterprises, LLC | Former Legal Business Name - Organization |
| Bravo Personal Care Services | Doing Business As Name - Organization |
| Street Address |
2377 GOLD MEADOW WAY STE 100 |
| City | GOLD RIVER |
| State | CA |
| Zip Code | 95670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376763045 | Luis Antonio Maldonado | Physical Therapist | 2377 Gold Meadow Way Ste 100, Gold River, CA 95670-4444 | 2007-04-26 |
| 1427693050 | Eileen Louise Degruccio | Marriage & Family Therapist | 2377 Gold Meadow Way Ste 100, Gold River, CA 95670-4444 | 2019-11-07 |
| 1184189862 | Apex Physical Therapy | Physical Therapist | 2377 Gold Meadow Way Ste 100, Gold River, CA 95670-4444 | 2019-02-06 |
| 1164706883 | Sharon Barrino | Marriage & Family Therapist | 2377 Gold Meadow Way Ste 100, Gold River, CA 95670-4444 | 2011-09-29 |
| 1952608432 | Janet Lia Gates | Social Worker | 2377 Gold Meadow Way Ste 100, Gold River, CA 95670-4444 | 2011-02-18 |
| 1538323712 | Cory Scott Adams | Marriage & Family Therapist | 2377 Gold Meadow Way Ste 100, Gold River, CA 95670-4444 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297640 | Blue Angels Trans LLC | Non-emergency Medical Transport (VAN) | 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 | 2020-05-26 |
| 1104452796 | Stephanie Lynn Miller | Registered Nurse | 10850 Golden Center Drive, Rancho Cordova, CA 95670 | 2020-03-16 |
| 1174165948 | Sacramento County Office of Education | Clinic/Center | Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 | 2019-10-14 |
| 1700364353 | Kavneet Bindra | Dentist | 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 | 2018-08-04 |
| 1487172029 | Monica Jackson | Registered Nurse | 3235 Gosport Way, Rancho Cordova, CA 95670 | 2017-09-05 |
| 1710408422 | Noemi Colmenares | Specialist/Technologist | 11100 Coloma Rd., Rancho Cordova, CA 95670 | 2017-07-03 |
| 1245779552 | Kristin Lyn Kaminski-wadle | Student in an Organized Health Care Education/Training Program | 11344 Coloma Rd Ste 515, Gold River, CA 95670 | 2017-02-20 |
| 1801331822 | Margrette Elaine Townsend | Counselor | 2379 Stone River Ct, Gold River, CA 95670 | 2016-12-29 |
| 1164889572 | Jose H Macaspac Iv | Physical Therapist | 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 | 2016-01-15 |
| 1972971620 | Harry James Buzbuzian Jr. | General Practice | 11345 Gold Country Blvd, Gold River, CA 95670 | 2015-09-11 |
| Find all providers in zip 95670 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
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| 1316547458 | Seniors Who Help Seniors Inc. | In Home Supportive Care | 577 E Elder St Ste U, Fallbrook, CA 92028-3079 | 2020-10-28 |
| 1386244465 | Silver Screen Senior Care LLC | In Home Supportive Care | 1333 S Beverly Glen Blvd Apt 906, Los Angeles, CA 90024-5277 | 2020-10-28 |
| 1861091373 | C'e Bella Home Care LLC | In Home Supportive Care | 82784 Longfellow Ct, Indio, CA 92201-9326 | 2020-10-26 |
| 1932708591 | At Home Care Companion Services Inc | In Home Supportive Care | 2814 Buttercup Ct, Antioch, CA 94531-6306 | 2020-10-23 |
| 1437758000 | My Little Helpers LLC | In Home Supportive Care | 16959 Bernardo Center Dr Ste 104, San Diego, CA 92128-2554 | 2020-10-23 |
| 1144829912 | A Shade of Love LLC | In Home Supportive Care | 9462 Oak St Apt 8, Bellflower, CA 90706-5264 | 2020-10-22 |
| 1073112744 | Carefree Home Care | In Home Supportive Care | 850 E Chapman Ave Ste A, Orange, CA 92866-1649 | 2020-10-22 |
| 1790383172 | Beverley's Home Healthcare LLC | In Home Supportive Care | 2450 E Del Mar Blvd Unit 17, Pasadena, CA 91107-4809 | 2020-10-16 |
| 1467050955 | Health Redesigned | In Home Supportive Care | 12139 Mount Vernon Ave Ste 203, Grand Terrace, CA 92313-5547 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | GOLD RIVER |
| Zip Code | 95670 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.