Organization Active NPI

Affordable Homecare Associates LLC

  • In Home Supportive Care Agency
  • Santa Rosa, CA
National Provider Identifier
1194573535
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AFFORDABLE HOMECARE ASSOCIATES LLC
Practice address
95 Montgomery Dr Ste 118
Santa Rosa, CA 95404-6617
Phone
(707) 787-1674
Fax
(707) 755-3878
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sakiusa Navatu
Title
Owner/Director
Phone
(707) 787-1674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

95 Montgomery Dr Ste 118
Santa Rosa, CA 95404-6617

Mailing address

95 Montgomery Dr Ste 118
Santa Rosa, CA 95404-6617
Phone (707) 787-1674

National Provider Directory

National Provider Directory

Locations

95 Montgomery Dr
Ste 118
Santa Rosa, CA 95404
Phone (707) 228-8405

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1194573535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR STE 118",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046617",
            "telephone_number": "707-787-1674",
            "fax_number": "707-755-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR STE 118",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046617",
            "telephone_number": "707-787-1674",
            "fax_number": "707-755-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE HOMECARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "NAVATU",
        "authorized_official_first_name": "SAKIUSA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "707-787-1674"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 10, 2024; 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.