Organization Active NPI

Providence in Home Health Care

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1114734191
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on May 6, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.