Healthcare Provider Details

I. General information

NPI: 1194652008
Provider Name (Legal Business Name): BERG SENIOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 CLAYTON RD
CONCORD CA
94521-2713
US

IV. Provider business mailing address

1600 CANYON RD
MORAGA CA
94556-1709
US

V. Phone/Fax

Practice location:
  • Phone: 925-676-3410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN BERG
Title or Position: PRESIDENT
Credential:
Phone: 925-377-5197