Gloria Joyce Bron Susbilla
Assisted Living Facility in Roseville, CA. Individual provider (NPI-1).
NPI number1700622305
StatusActive
Last updated in NPPESJul 2, 2024
Details
- NPI
- 1700622305
- Entity type
- Individual (NPI-1)
- Name
- Gloria Joyce Bron Susbilla
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2024
- Certification date
- Jul 2, 2024
- Last updated
- Jul 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 315002960 | CA | Yes |
Practice location
256 Elm StRoseville, CA 95678-2508
Phone 916-770-5378
Mailing address
256 Elm StRoseville, CA 95678-2508
Phone 916-770-5378
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Assisted Living Facility providers in Roseville · All 6,478 providers in Roseville
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