Organization · Type 2 NPI

Burgess Brothers Restaurant LLC

Meals Provider · Sacramento, CA

NPI number 1679217228 Active

Practice location

6580 Belleau Wood Ln
Sacramento, CA 95822-5910

Call (916) 250-2761 Map

Other practice locations

3851 Mather Field Rd, Ste B, Rancho Cordova, CA 95670 · (916) 821-9000
2450 Meadowview Rd, Sacramento, CA 95832-1447 · (916) 296-3645
106 J St, Sacramento, CA 95814-2207 · (916) 622-7743

Specialties and licenses

Taxonomy	Code	License
Meals Provider Primary	174200000X	None listed
Home Health Agency	251E00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed

Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Other meals provider providers in Sacramento

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NPI record

NPI: 1679217228
Entity type: Organization (Type 2)
Issued: Apr 20, 2022
Last updated: May 20, 2022
Status: Active

Other names

<unavail>
Burgess Brothers · doing business as
Burgess Brothers · doing business as
Burgess Brothers Restaurant LLC · former legal business name

Authorized official

Jonathan Burgess
CEO
(916) 250-2761

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679217228

Burgess Brothers Restaurant LLC's National Provider Identifier is 1679217228, issued on Apr 20, 2022. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Sacramento, CA. The record was last updated on May 20, 2022.