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ALFONSUS P HARDOSUBROTO
NPI 1285599522
Assisted Living Facility in Roseville, CA

Active since December 18, 2025
1397 SUN TREE DR, ROSEVILLE, CA 95661(916) 899-5604 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alfonsus P Hardosubroto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALFONSUS P HARDOSUBROTO (NPI 1285599522) is an individual assisted living facility provider in Roseville, California, licensed in California (315002920) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1285599522
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameALFONSUS P HARDOSUBROTO
Location Address1397 SUN TREE DRRoseville, CA 95661-5344
Mailing Address1397 Sun Tree DrRoseville, CA 95661-5344 · (916) 899-5604
Phone(916) 899-5604
Sole ProprietorYes
Enumeration DateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1285599522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 315002920
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1397 SUN TREE DR, Roseville, CA 95661
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIM ELDERLY CARE LLC
Assisted Living Facility
1397 SUN TREE DR
ROSEVILLE, CA 95661
Placer County (916) 899-5604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfonsus Hardosubroto's NPI number?

The NPI number for Alfonsus Hardosubroto is 1285599522. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Alfonsus Hardosubroto located?

Alfonsus Hardosubroto practices at 1397 Sun Tree Dr, Roseville, CA 95661. The listed phone number is (916) 899-5604.

What is Alfonsus Hardosubroto's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Alfonsus Hardosubroto was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.