Provider Demographics
NPI:1003187246
Name:THE SJOBERG GROUP
Entity Type:Organization
Organization Name:THE SJOBERG GROUP
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SJOBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-707-5905
Mailing Address - Street 1:10977 GRANADA LN
Mailing Address - Street 2:SUITE 230
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1468
Mailing Address - Country:US
Mailing Address - Phone:913-338-1919
Mailing Address - Fax:
Practice Address - Street 1:10977 GRANADA LN
Practice Address - Street 2:SUITE 230
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1468
Practice Address - Country:US
Practice Address - Phone:913-338-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care