Active NPI
Providence in Home Health Care
- In Home Supportive Care Agency
- Santa Rosa, CA
National Provider Identifier
1114734191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PROVIDENCE IN HOME HEALTH CARE
- Practice address
- 131A Stony Cir Ste 500
Santa Rosa, CA 95401-9600 - Phone
- (415) 707-5602
- Fax
- (888) 285-5235
- NPI assigned
- Dec 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pita Taukei
- Title
- Executive Director
- Phone
- (707) 239-8419
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
131A Stony Cir Ste 500
Santa Rosa, CA 95401-9600
Mailing address
884 3Rd St Ste D
Santa Rosa, CA 95404-4567
Phone (415) 707-5602
Other names 1
- Providential Fijian Home Care
National Provider Directory
National Provider DirectoryLocations
131A Stony Cir
Ste 500
Santa Rosa, CA 95401
Phone (415) 707-5602
884 3rd St
Ste D
Santa Rosa, CA 95404
Phone (707) 205-9670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1114734191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "884 3RD ST STE D",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044567",
"telephone_number": "415-707-5602",
"fax_number": "888-285-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131A STONY CIR STE 500",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954019600",
"telephone_number": "415-707-5602",
"fax_number": "888-285-5235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE IN HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-13",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "TAUKEI",
"authorized_official_first_name": "PITA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "707-239-8419"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Providential Fijian Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Providential Fijian Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.